Provider Demographics
NPI:1346471489
Name:KANE, ALLISON BETH (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:BETH
Last Name:KANE
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 1:16112 BEARESS LOOP
Mailing Address - Street 2:
Mailing Address - City:QUANTICO
Mailing Address - State:VA
Mailing Address - Zip Code:22134-1740
Mailing Address - Country:US
Mailing Address - Phone:571-606-1597
Mailing Address - Fax:
Practice Address - Street 1:16112 BEARESS LOOP
Practice Address - Street 2:
Practice Address - City:QUANTICO
Practice Address - State:VA
Practice Address - Zip Code:22134-1740
Practice Address - Country:US
Practice Address - Phone:571-606-1597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst