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Lisa Eberly , BCaBA, LABA

Assistant Behavior Analyst β€’ Roy, UT

Active NPI 1114393212 Individual Practitioner Female Practitioner
Practice location in NPPES

1858 W 5150 S
Roy, UT 840673000

Call 8012555131 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1858 W 5150 S

Roy, UT 840673000

Telephone 8012555131
Fax 8016580604
Organization at the Same NPPES Address or Phone
Bridgeway Integrated Healthcare Services Facility NPI 1104119619

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Roy and Utah

2 active clinicians are listed under Assistant Behavior Analyst with a practice address in Roy, UT (66 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-12
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES UT 10673594-2507

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Likio Pope , PA-C

Physician Assistant - Medical

NPI 1174016695

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 12, 2022

Registered at 1858 W 5150 S, ROY, UT 840673000 (Tel: 8012555131)

πŸ‘€
Provider Name / Credentials Updated April 12, 2022

Recorded as LISA EBERLY, BCABA, LABA

βœ…
NPI Profile Active August 13, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 13, 2015

Registered at 1067 E TABERNACLE ST, ST GEORGE, UT 847703163 (Tel: 8012555131)

πŸ“
Business Mailing Address (Initial Record) August 13, 2015

Registered at 6013 S REDWOOD RD, TAYLORSVILLE, UT 841235220 (Tel: 8012555131)

πŸ‘€
Provider Name / Credentials (Initial Record) August 13, 2015

Recorded as LISA EBERLY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2015

Counselor

🟒
Initial NPI Registration & Enumeration August 12, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114393212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2015
Last Update: April 12, 2022
Sole Proprietor: Yes

Mailing Address

6013 S Redwood Rd

Taylorsville, UT 841235220

Phone: 8012555131

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.