Provider Demographics
NPI:1689213241
Name:MCLELLAND, ALLISON LEE
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEE
Last Name:MCLELLAND
Suffix:
Gender:F
Credentials:
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 2161
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34230-2161
Mailing Address - Country:US
Mailing Address - Phone:941-404-3721
Mailing Address - Fax:941-296-7285
Practice Address - Street 1:253 S LINKS AVE UNIT B
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-6926
Practice Address - Country:US
Practice Address - Phone:941-404-3721
Practice Address - Fax:941-296-7285
Is Sole Proprietor?:No
Enumeration Date:2019-12-31
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician