Provider Demographics
NPI:1356685051
Name:TOPP, LISA (BCBA)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:TOPP
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 1:3826 GRAND VIEW BLVD UNIT 661801
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-8290
Mailing Address - Country:US
Mailing Address - Phone:310-709-2885
Mailing Address - Fax:
Practice Address - Street 1:3826 GRAND VIEW BLVD UNIT 661801
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-8290
Practice Address - Country:US
Practice Address - Phone:310-709-2885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-10-7247103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst