Healthcare Provider Details

I. General information

NPI: 1689156903
Provider Name (Legal Business Name): ALANA ANN ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALANA ANN MACNEIL

II. Dates (important events)

Enumeration Date: 09/04/2018
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 WALNUT ST
WELLESLEY MA
02481-2101
US

IV. Provider business mailing address

4620 N STATE ROAD 7 STE 300
LAUDERDALE LAKES FL
33319-5867
US

V. Phone/Fax

Practice location:
  • Phone: 877-889-1312
  • Fax:
Mailing address:
  • Phone: 561-323-6598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number3790
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: