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

Lisa Marie Wall

Individual provider Behavior Analyst · NPI 1104245513

Lisa Marie Wall is a Behavior Analyst in Brick, New Jersey. Works from 2 locations. Licensed in North Carolina and New Jersey.

Licensed in
NC, NJ
In the registry since
2014
Specialties on file
3

Practice location Address checks out

496 Rena Ct
Brick, NJ 08724-7150
Phone: (848) 448-4002
Show map & directions

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

Additional practice locations (1)

  • 300 Market St Ste 200, Chapel Hill, NC 27516-4493 — (984) 528-8787

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-14-15120 (NJ)
Behavior Analyst Taxonomy 103K00000X (NC)
Behavior Analyst Taxonomy 103K00000X · Licence 3245 (NC)

Record details

NPI number1104245513
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address496 Rena Ct, Brick, NJ 08724-7150

Other providers in Brick