MEDICARE: ALISON J HOWARD

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1386916922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON J HOWARD

Provider Business Mailing Address
First Line	:	1012 N GREENFIELD LN
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-1334
Country	:	US
Telephone Number	:	847-651-8342
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 N GREENFIELD LN
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-1334
Country	:	US
Telephone Number	:	847-651-8342
Fax Number	:

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

Provider Enumeration Date	:	01/28/2012
Last Update Date	:	01/28/2012

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