Provider Demographics
NPI:1003418898
Name:CARR, ALLISON C (BCBA)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:C
Last Name:CARR
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 SANDRA RD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2070
Mailing Address - Country:US
Mailing Address - Phone:856-343-7900
Mailing Address - Fax:
Practice Address - Street 1:2205 SANDRA RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2070
Practice Address - Country:US
Practice Address - Phone:856-343-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst