Individual
ALLISON MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4959 UTICA RIDGE RD, DAVENPORT, IA 52807
(563) 362-9631
Mailing address
4959 UTICA RIDGE RD, DAVENPORT, IA 52807-3063
(563) 362-9631
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15296
IL
Other
Enumeration date
07/03/2014
Last updated
12/12/2016
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