IndividualActive
Mary Lisbon
NPI 1194230631 · Behavior Technician · Odessa, FL
Mary Lisbon is a Behavior Technician provider in Odessa, FL (NPI 1194230631).
Provider details
- NPI number
- 1194230631
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 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
2 documented practice locations
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
16414 Lake Church Dr
Odessa, FL 33556-2637
Phone: (813) 926-5414
Street-level locationGet directions
Mailing address
9501 Starline Dr
Dade City, FL 33525-1406
Additional practice locations (1)
- 9501 Starline DrDade City, FL 33525-1406Phone: (352) 942-3153
Registry dates
- Enumerated
- 2017-12-06
- Last updated
- 2018-03-17
Frequently asked questions
- What is Mary Lisbon's NPI number?
- Mary Lisbon's National Provider Identifier (NPI) is 1194230631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Lisbon's specialty?
- Mary Lisbon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mary Lisbon located?
- Mary Lisbon's practice location on file with NPPES is 16414 Lake Church Dr, Odessa, FL 33556-2637.
- What is Mary Lisbon's phone number?
- The practice phone number listed in the NPPES registry for Mary Lisbon is (813) 926-5414.
- Is Mary Lisbon's NPI active?
- Yes — Mary Lisbon's NPI (1194230631) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.