MR. MARK ALLEN LISTER BCABA NPI 1336398882

NPI Information

NPI: 1336398882
Provider Name: MR. MARK ALLEN LISTER, BCABA
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
10929 NW 35TH PL
GAINESVILLE, FL
ZIP 32606
Phone: (352) 332-2496
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MR. Mark Allen Lister, BCABA is an intellectual and developmental disabilities in Gainesville, FL. MR. Mark Allen Lister, BCABA NPI is 1336398882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10929 NW 35TH PL
GAINESVILLE, FL
ZIP 32606-972
Phone: (352) 332-2496

The enumeration date for this NPI number is 9/9/2008 and was last updated on 9/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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