What is Lisa Wallace's NPI number?

Lisa Wallace's National Provider Identifier (NPI) is 1164940474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lisa Wallace's specialty?

Lisa Wallace is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Lisa Wallace located?

Lisa Wallace's practice location on file with NPPES is 1155 Cully Rd, Cordova, TN 38018-8502.

What is Lisa Wallace's phone number?

The practice phone number listed in the NPPES registry for Lisa Wallace is (901) 624-2454.

Is Lisa Wallace's NPI active?

Yes — Lisa Wallace's NPI (1164940474) is active in the NPPES registry as of the last update on 2017-09-07.

IndividualActive

Lisa Wallace, BCBA

NPI 1164940474 · Behavior Analyst · Cordova, TN

Lisa Wallace, BCBA is a Behavior Analyst provider in Cordova, TN (NPI 1164940474).

Provider details

NPI number: 1164940474
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Credential: BCBA
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior AnalystPrimary103K00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1155 Cully Rd

Cordova, TN 38018-8502

Phone: (901) 624-2454

Street-level locationGet directions

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Mailing address