Healthcare Provider Details

I. General information

NPI: 1427715226
Provider Name (Legal Business Name): ALLISON NICOLE CASCARILLA PH.D., BCBA-D, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 3 MILE RD NW SUITE 200
GRAND RAPIDS MI
49544-1691
US

IV. Provider business mailing address

1645 N HAGADORN RD
EAST LANSING MI
48823-2228
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401000640
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: