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NPI Code Detail

MEDICARE: ELISABETH ALLISON M.S., BCBA, LBA

MEDICARE:   ELISABETH  ALLISON  M.S., BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst2986TX

General Provider Information

NPI Number : 1093482663
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISABETH ALLISON M.S., BCBA, LBA
Provider Business Mailing Address
First Line : 8181 COMMERCE PARK DR STE 726
Second Line :
City : HOUSTON
State : TX
Zip : 77036-7449
Country : US
Telephone Number : 346-217-8328
Fax Number : 844-561-3797
Provider Business Practice Location Address
First Line : 5751 BLYTHEWOOD ST STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77021-5403
Country : US
Telephone Number : 346-217-8328
Fax Number : 844-561-3797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2021
Last Update Date : 08/23/2021

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Directions to “ ELISABETH ALLISON M.S., BCBA, LBA” Practice Location

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