Provider Demographics
NPI:1073855581
Name:HOFF, ALLISON D (BCBA)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:D
Last Name:HOFF
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:PO BOX 1591
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46546-1591
Mailing Address - Country:US
Mailing Address - Phone:312-859-5991
Mailing Address - Fax:
Practice Address - Street 1:50918 N SHORE DR
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-6345
Practice Address - Country:US
Practice Address - Phone:574-364-0464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-16-23349OtherBEHAVIOR ANALYST CERTIFICATION BOARD