Provider Demographics
NPI:1003231663
Name:BARSNESS, LISA MARIE (BCBA)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:BARSNESS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:MARIE
Other - Last Name:STEIBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2925 DEAN PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-7700
Mailing Address - Country:US
Mailing Address - Phone:612-925-8365
Mailing Address - Fax:612-925-8366
Practice Address - Street 1:2925 DEAN PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-7700
Practice Address - Country:US
Practice Address - Phone:612-925-8365
Practice Address - Fax:612-925-8366
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1-11-8188103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1-11-8188OtherBCBA