Individual
ALLISON MARIE EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
22 FULTON AVE, STEWARTSTOWN, PA 17363-4074
(443) 412-2186
Mailing address
22 FULTON AVE, STEWARTSTOWN, PA 17363-4074
(443) 819-8915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004740
PA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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