Provider Demographics
NPI:1396216867
Name:ALLARD, ELIZABETH C (BCBA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:C
Last Name:ALLARD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:C
Other - Last Name:COULSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:5085 W PARK BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-2592
Mailing Address - Country:US
Mailing Address - Phone:469-277-6050
Mailing Address - Fax:
Practice Address - Street 1:5085 W PARK BLVD STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2592
Practice Address - Country:US
Practice Address - Phone:469-277-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17-44543106S00000X
TX1-21-47422103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1-12-47422OtherBACB