Healthcare Provider Details

I. General information

NPI: 1568036994
Provider Name (Legal Business Name): ALISON DADRASS BCBA, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON FREIER

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 CHICAGO AVE UNIT 902
EVANSTON IL
60202-2388
US

IV. Provider business mailing address

847 CHICAGO AVE UNIT 902
EVANSTON IL
60202-2388
US

V. Phone/Fax

Practice location:
  • Phone: 734-612-9092
  • Fax: 866-874-3345
Mailing address:
  • Phone: 734-612-9092
  • Fax: 866-874-3345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: