Healthcare Provider Details

I. General information

NPI: 1023544483
Provider Name (Legal Business Name): ALLISON FLEMING BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 05/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E PRATT ST FLOOR 8
BALTIMORE MD
21202-3116
US

IV. Provider business mailing address

400 E PRATT ST FLOOR 8
BALTIMORE MD
21202-3116
US

V. Phone/Fax

Practice location:
  • Phone: 800-991-6071
  • Fax: 800-991-6071
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH003174
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: