Provider Demographics
NPI:1477286268
Name:BOSTWICK, ALISON SARAH
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:SARAH
Last Name:BOSTWICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:SARAH
Other - Last Name:COMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:607C FAIRMONT AVE APT C
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-4338
Mailing Address - Country:US
Mailing Address - Phone:813-727-6131
Mailing Address - Fax:
Practice Address - Street 1:607C FAIRMONT AVE APT C
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-4338
Practice Address - Country:US
Practice Address - Phone:813-727-6131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-08
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst