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

Mrs. Larissa Van Wie, RBT

Individual provider Behavior Technician · NPI 1487242210

Mrs. Larissa Van Wie, RBT is a Behavior Technician in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

15116 N Cotton Ln
Surprise, AZ 85388-9618
Phone: (623) 322-8250
Fax: (602) 485-8859
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-150641 (AZ)

Record details

NPI number1487242210
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedJanuary 7, 2021
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

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