Provider Demographics
NPI:1972808905
Name:PEIRCE BOYLE, LISA (MED, BCBA)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:
Last Name:PEIRCE BOYLE
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 E FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-4693
Mailing Address - Country:US
Mailing Address - Phone:630-281-6923
Mailing Address - Fax:
Practice Address - Street 1:619 E FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-4693
Practice Address - Country:US
Practice Address - Phone:630-527-9623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-23
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst