Healthcare Provider Details

I. General information

NPI: 1104250125
Provider Name (Legal Business Name): ALLISON KINGSBURY PADDEN M. ED., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4888 COFFEE HILL RD
DANSVILLE NY
14437-9131
US

IV. Provider business mailing address

4888 COFFEE HILL RD
DANSVILLE NY
14437-9131
US

V. Phone/Fax

Practice location:
  • Phone: 585-991-8221
  • Fax:
Mailing address:
  • Phone: 585-991-8221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-13-13094
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: