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

Lisiane Pooch

Individual provider Behavior Technician · NPI 1043786130

Lisiane Pooch is a Behavior Technician in Fairfax, Virginia. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

11240 Waples Mill Rd Ste 101
Fairfax, VA 22030-6078
Phone: (571) 639-9276
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1043786130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2018
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021
Mailing address11200 Waples Mill Rd Ste 202, Fairfax, VA 22030-7407

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