Provider Demographics
NPI:1336631332
Name:BARNES, ALISON JEAN
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:JEAN
Last Name:BARNES
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 1:1 CROW CANYON CT STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1641
Mailing Address - Country:US
Mailing Address - Phone:888-531-8385
Mailing Address - Fax:
Practice Address - Street 1:GOALS FOR AUTISM
Practice Address - Street 2:1 CROW CANYON COURT
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583
Practice Address - Country:US
Practice Address - Phone:925-549-5790
Practice Address - Fax:925-264-1902
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician