Healthcare Provider Details

I. General information

NPI: 1396394433
Provider Name (Legal Business Name): CHRISTOPHER WILLIAM ALLEN BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 POPLAR HOLLOW TER
NORTH CHESTERFIELD VA
23235-4679
US

IV. Provider business mailing address

8201 POPLAR HOLLOW TER
NORTH CHESTERFIELD VA
23235-4679
US

V. Phone/Fax

Practice location:
  • Phone: 231-878-5403
  • Fax:
Mailing address:
  • Phone: 231-878-5403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: