Provider Demographics
NPI:1477986461
Name:STONE, ALLISON (BCBA, OT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:BCBA, OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 VERMONT ROUTE 103
Mailing Address - Street 2:
Mailing Address - City:CUTTINGSVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05738-3401
Mailing Address - Country:US
Mailing Address - Phone:802-353-5189
Mailing Address - Fax:
Practice Address - Street 1:1735 VERMONT ROUTE 103
Practice Address - Street 2:
Practice Address - City:CUTTINGSVILLE
Practice Address - State:VT
Practice Address - Zip Code:05738-4413
Practice Address - Country:US
Practice Address - Phone:802-353-5189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1 08 4179103K00000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist