Healthcare Provider Details

I. General information

NPI: 1689020117
Provider Name (Legal Business Name): ILANA RACHEL EGGER-ALLEY MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WAYLAND GROVE LN
APEX NC
27523-8034
US

IV. Provider business mailing address

201 MILLET DR
MORRISVILLE NC
27560-7727
US

V. Phone/Fax

Practice location:
  • Phone: 336-510-9990
  • Fax:
Mailing address:
  • Phone: 512-704-6329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1061
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: