Individual
MARY KATHERINE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3106 STONE PATH LN SE, OWENS CROSS ROADS, AL 35763-7016
(833) 747-4222
Mailing address
15788 COACH HOUSE CT NW, HARVEST, AL 35749-7863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374308
BACB
—
Enumeration date
04/23/2020
Last updated
04/28/2022
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