Individual
ALLISON MARIE COULSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8650 COMMERCE PARK PL STE A, INDIANAPOLIS, IN 46268-3174
(317) 388-8131
Mailing address
1580 OLIVER AVE, PLAINFIELD, IN 46168-2058
(812) 631-4747
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11394
IN
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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