Individual
ANDREW LISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7905 N MEADOWLARK WAY STE D, COEUR D ALENE, ID 83815-5041
(208) 618-2593
Mailing address
705 E 2ND AVE # 104, POST FALLS, ID 83854-7888
(208) 241-9715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
222Q00000X
Developmental Therapist
1-25-81998
ID
Other
Enumeration date
01/07/2022
Last updated
01/23/2026
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