Individual
ALLISON LEE ABRAHAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10532 N PORT WASHINGTON RD, MEQUON, WI 53092-5563
(509) 954-9128
Mailing address
10532 N PORT WASHINGTON RD STE 1B, MEQUON, WI 53092-5563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
285-140
WI
106S00000X
Behavior Technician
RBT-15-03430
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124516836
—
WI
Enumeration date
04/27/2018
Last updated
03/15/2021
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