Healthcare Provider Details

I. General information

NPI: 1982180576
Provider Name (Legal Business Name): ALISON MATHES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2018
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38221 MOUND RD
STERLING HEIGHTS MI
48310-3418
US

IV. Provider business mailing address

32525 23 MILE RD
CHESTERFIELD MI
48047-1995
US

V. Phone/Fax

Practice location:
  • Phone: 734-415-9597
  • Fax:
Mailing address:
  • Phone: 888-230-9994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133005099
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401000409
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: