Healthcare Provider Details

I. General information

NPI: 1457596660
Provider Name (Legal Business Name): LISA RAMSEY BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3108 WEDDINGTON RD
MATTHEWS NC
28105-6665
US

IV. Provider business mailing address

12734 SETTLERS PATH LN
CHARLOTTE NC
28278-7682
US

V. Phone/Fax

Practice location:
  • Phone: 980-202-7442
  • Fax:
Mailing address:
  • Phone: 336-669-7588
  • Fax: 980-785-1114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number123
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: