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

Mary Lisbon

Individual provider Behavior Technician · NPI 1194230631

Mary Lisbon is a Behavior Technician in Odessa, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

16414 Lake Church Dr
Odessa, FL 33556-2637
Phone: (813) 926-5414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9501 Starline Dr, Dade City, FL 33525-1406 — (352) 942-3153

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1194230631
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 6, 2017
Last updated in NPPESMarch 17, 2018
Mailing address9501 Starline Dr, Dade City, FL 33525-1406

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