Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-17-8199 | IN |
NPI | 1083129068 |
---|---|
Provider Name | Allison Mcallister |
First Address | Merrillville, IN 46410-6227 |
Second Address | Merrillville, IN 46410-6227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2017 |
Last Update Date | 12/12/2017 |