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

Lisa Withrow

Individual provider Behavior Technician · NPI 1104493923

Lisa Withrow is a Behavior Technician in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2919 Breezewood Ave Ste 101
Fayetteville, NC 28303-5283
Phone: (910) 484-1711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 2151 (NC)
Behavior Technician Taxonomy 106S00000X · Licence RBT-19-84076 (NC)

Record details

NPI number1104493923
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2021
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

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