Individual
MS. ALISON LORRAINE BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
700 LAVACA ST, STE 1401, AUSTIN, TX 78701-3101
(512) 537-3014
Mailing address
PO BOX 26642, AUSTIN, TX 78755-0642
(512) 537-3014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12198
TX
Other
Enumeration date
07/02/2013
Last updated
02/11/2014
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