Individual
ALLISON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5999 W MEMORY LN, GREENFIELD, IN 46140-7294
(317) 477-8240
Mailing address
225 GASLITE LN, GREENFIELD, IN 46140-1012
(317) 364-2885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487684494
—
IN
Enumeration date
12/15/2022
Last updated
12/15/2022
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