Individual
ALLISON BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2138 FAWNS CREEK XING, MT JULIET, TN 37122-1207
(312) 914-0611
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
(312) 914-0611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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