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

Lisa Wallace, BCBA

Individual provider Behavior Analyst · NPI 1164940474

Lisa Wallace, BCBA is a Behavior Analyst in Cordova, Tennessee. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

1155 Cully Rd
Cordova, TN 38018-8502
Phone: (901) 624-2454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1164940474
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESSeptember 7, 2017
Mailing address1155 Cully Rd, Cordova, TN 38018-8502

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