Individual
ALISON IVANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
203 GREGSON DR, CARY, NC 27511-6495
(919) 461-0600
Mailing address
203 GREGSON DR, CARY, NC 27511-6495
(919) 461-0600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12758
FL
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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