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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GWENDOLYN DACUP LISLE

Active

GWENDOLYN DACUP LISLE is a Behavior Technician healthcare provider located in LACEY, Washington. NPI 1265028773 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · LACEY, WA

Registration Details

NPI Number
1265028773
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2020 (5.5100486670347 yrs)
Last Updated
Dec 18, 2020

Practice Information

Address
8282 28TH CT NE STE A
LACEY, WA, 985167162
Browse WA providers · Browse ZIP 98516
Phone
3609156868
Fax
3605155783
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in LACEY, WA

Name Credential NPI
STEPHANIE LAZRAK 1942748454
ALEXANDER JORDAN YOKEL BT 1821527540
KELLI MCKEE 1699263897
MISS ELEXIS TIFFANY LEES 1255807046
ELMER MCBRIDE CBT 1023573839
JANITA TOYLEE MCKEEVER 1790241776
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.