Provider Demographics
NPI:1043883481
Name:LOVELACE, ALISON (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:LOVELACE
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 LAKE OTIS PKWY UNIT 230925
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99523-0200
Mailing Address - Country:US
Mailing Address - Phone:503-592-0808
Mailing Address - Fax:866-415-2345
Practice Address - Street 1:11100 STROGANOF DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-6481
Practice Address - Country:US
Practice Address - Phone:503-592-0808
Practice Address - Fax:866-415-2345
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK173334103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst