Individual
ALLYSEN MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3101 N CANTERBURY CT, BLOOMINGTON, IN 47404-1500
(812) 490-0904
Mailing address
550 CONGRESSIONAL BLVD STE 115, CARMEL, IN 46032-5644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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