MEDICARE: ALISON CLEMENTSON MA, LBA, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst	8501	TX
2	103K00000X	Behavior Analyst	9894	TX

General Provider Information

NPI Number	:	1346031598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON CLEMENTSON MA, LBA, BCBA

Provider Business Mailing Address
First Line	:	3724 CYPRESS CREEK PKWY STE 300M
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3528
Country	:	US
Telephone Number	:	346-372-0771
Fax Number	:

Provider Business Practice Location Address
First Line	:	3724 CYPRESS CREEK PKWY STE 300M
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3528
Country	:	US
Telephone Number	:	346-372-0771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2025
Last Update Date	:	03/05/2026

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