Healthcare Provider Details

I. General information

NPI: 1356957450
Provider Name (Legal Business Name): ALLISON SPEAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2094 ENERGY DR
APEX NC
27502-8722
US

IV. Provider business mailing address

100 HIDDEN OAKS DR APT 2B
CARY NC
27513-3382
US

V. Phone/Fax

Practice location:
  • Phone: 984-229-1901
  • Fax:
Mailing address:
  • Phone: 310-977-9564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
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: