Healthcare Provider Details

I. General information

NPI: 1689464331
Provider Name (Legal Business Name): ALLISON COLE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2280 HICKS RD STE 500
ROLLING MEADOWS IL
60008-1220
US

IV. Provider business mailing address

2280 HICKS RD STE 500
ROLLING MEADOWS IL
60008-1220
US

V. Phone/Fax

Practice location:
  • Phone: 888-629-7110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2852556
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-25-15940
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-176273
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: