Provider Demographics
NPI:1134357270
Name:LOTTATORE-FRENCH, LISA (PSYD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:LOTTATORE-FRENCH
Suffix:
Gender:F
Credentials:PSYD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23040 SLEEPING OAK DR
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3912
Mailing Address - Country:US
Mailing Address - Phone:858-337-9818
Mailing Address - Fax:
Practice Address - Street 1:23040 SLEEPING OAK DR
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3912
Practice Address - Country:US
Practice Address - Phone:858-337-9818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-28
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABCBA-D #1-11-9274103K00000X
CAPSY25812103TC0700X
CAPSY 25812103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical