Provider Demographics
NPI:1952908550
Name:PACHECO, LIZA (BCBA)
Entity type:Individual
Prefix:
First Name:LIZA
Middle Name:
Last Name:PACHECO
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 1:81 COMMONWEALTH RD
Mailing Address - Street 2:
Mailing Address - City:EAST LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-2067
Mailing Address - Country:US
Mailing Address - Phone:978-317-1004
Mailing Address - Fax:
Practice Address - Street 1:100 CUMMINGS CTR STE 146Q
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6135
Practice Address - Country:US
Practice Address - Phone:978-203-9060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician