Individual
ALLISON COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6131 N CLINTON ST, FORT WAYNE, IN 46825-4905
(260) 459-6040
Mailing address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15940
IN
106S00000X
Behavior Technician
RBT-21-176273
IN
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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