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NPI Code Detail

MEDICARE: LISA ZURBUCHEN MA, BCBA

MEDICARE: LISA ZURBUCHEN MA, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst339-140WI

General Provider Information

NPI Number : 1508491572
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ZURBUCHEN MA, BCBA
Provider Business Mailing Address
First Line : 991 KIMBALL LN
Second Line :
City : VERONA
State : WI
Zip : 53593-1785
Country : US
Telephone Number : 608-556-6120
Fax Number :
Provider Business Practice Location Address
First Line : 991 KIMBALL LN
Second Line :
City : VERONA
State : WI
Zip : 53593-1785
Country : US
Telephone Number : 608-556-6120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2020
Last Update Date : 12/18/2025

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