Individual
MRS. ALYSON BROOKE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1264 HIGUERA ST, 108A, SAN LUIS OBISPO, CA 93401-3124
(805) 441-0775
Mailing address
PO BOX 128, SAN LUIS OBISPO, CA 93406-0128
(805) 441-0775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4167 BCBA
CA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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