Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Marie Cannon

Individual provider Behavior Technician · NPI 1629716204

Lisa Marie Cannon is a Behavior Technician in Fairfax, Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516
Phone: (888) 922-2843
Fax: (855) 568-2494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629716204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

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