Provider Demographics
NPI:1205479276
Name:APIKOS, LISA D (BCBA)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:D
Last Name:APIKOS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 N HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-5764
Mailing Address - Country:US
Mailing Address - Phone:352-720-5194
Mailing Address - Fax:407-386-5172
Practice Address - Street 1:121 N HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-5764
Practice Address - Country:US
Practice Address - Phone:352-720-5194
Practice Address - Fax:407-386-5172
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst