Provider Demographics
NPI:1184903932
Name:MCGRIMLEY, ALISON MARIE (MED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:MARIE
Last Name:MCGRIMLEY
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:SCHAUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, BCBA
Mailing Address - Street 1:1330 RIVER BEND DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6923
Mailing Address - Country:US
Mailing Address - Phone:512-560-6374
Mailing Address - Fax:
Practice Address - Street 1:1380 RIVER BEND DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4914
Practice Address - Country:US
Practice Address - Phone:214-333-7076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-11-8055103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst