Female

Mrs. Lisa M. Upton M.ED. AAC

Behavioral Analyst in Yakima, WA(View on Map)

Full Name

Mrs. Lisa M Upton M.ED. AAC

NPI Number

1457525404

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/21/2008

Specialties

(Taxonomies)

Code

103K00000X
101YM0800X

Primary Taxonomy

Yes
No

Licenses

State

Washington
Washington

License Number

1457525404
RC00060345

Contact
Information

Purpose

Mailing
Location

Address

8815 S TACOMA WAY
5301 TIETON DRIVE

City

Lakewood
Yakima

State

WA
WA

Postal Code

98499-4587
98908-3478

Country

US
US

Telephone Number

(253) 682-0353
(509) 965-7100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/13/2016

Provider Address

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