Individual
LISA NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1408 8TH ST, ALAMOGORDO, NM 88310-5115
(866) 273-2451
(866) 608-5560
Mailing address
1408 8TH ST, ALAMOGORDO, NM 88310-5115
(866) 273-2451
(866) 608-5560
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26740
IN
103K00000X
Behavior Analyst
311-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-26740
BCBA
IN
Enumeration date
07/18/2017
Last updated
04/06/2026
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