Provider Demographics
NPI:1467815118
Name:DUBE, ALISON A (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:A
Last Name:DUBE
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 AMALFI WAY
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2953
Mailing Address - Country:US
Mailing Address - Phone:561-837-0870
Mailing Address - Fax:
Practice Address - Street 1:616 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6259
Practice Address - Country:US
Practice Address - Phone:336-953-7049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2632103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst