Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-44486 | FL |
N | 106E00000X | Assistant Behavior Analyst | FL |
NPI | 1174079339 |
---|---|
Provider Name | Alison Pallo |
First Address | Riverview, FL 33578-4793 |
Second Address | Tampa, FL 33610-9713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2016 |
Last Update Date | 11/09/2020 |