Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003201500 |
---|---|
Provider Name | Allison Sumner |
First Address | Louisville, KY 40204-1333 |
Second Address | Louisville, KY 40204-1333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2015 |
Last Update Date | 17/02/2021 |