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General NPI Number Information
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NPI Number | 1801303565
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Entity Type | Individual
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Provider Name | COLLEEN M ALLEN M.S., BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 2901 FINLEY RD STE 102
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1774
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Country | US
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Telephone | 630-495-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 FINLEY RD STE 102
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1774
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-18-34287
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 152.001364
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License Number State | IL
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