Provider Demographics
NPI:1891008108
Name:PISTOLE, ALYSON CLARE (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ALYSON
Middle Name:CLARE
Last Name:PISTOLE
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:CLARE
Other - Last Name:CRUZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:901 BRENTWOOD PT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7990
Mailing Address - Country:US
Mailing Address - Phone:615-955-0001
Mailing Address - Fax:
Practice Address - Street 1:901 BRENTWOOD PT
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7990
Practice Address - Country:US
Practice Address - Phone:615-955-0001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst