Healthcare Provider Details

I. General information

NPI: 1417862822
Provider Name (Legal Business Name): ALLISON R LATULIPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8382 N PALAFOX ST
PENSACOLA FL
32534-3735
US

IV. Provider business mailing address

8382 N PALAFOX ST
PENSACOLA FL
32534-3735
US

V. Phone/Fax

Practice location:
  • Phone: 850-982-9118
  • Fax:
Mailing address:
  • Phone: 850-982-9118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number25420146
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: