Provider Demographics
NPI:1003201500
Name:SUMNER, ALLISON (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SUMNER
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 BARDSTOWN RD STE 15
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-1333
Mailing Address - Country:US
Mailing Address - Phone:859-481-8085
Mailing Address - Fax:
Practice Address - Street 1:1250 BARDSTOWN RD STE 15
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1333
Practice Address - Country:US
Practice Address - Phone:859-481-8085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-01
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst