Provider Demographics
NPI:1821447442
Name:PAPANTONIOU, ALISON
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:PAPANTONIOU
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 1:4384 HUNTERS PASS
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0320
Mailing Address - Country:US
Mailing Address - Phone:703-638-4316
Mailing Address - Fax:
Practice Address - Street 1:4384 HUNTERS PASS
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-0320
Practice Address - Country:US
Practice Address - Phone:703-638-4316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-04
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-18-33772103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst