Provider Demographics
NPI:1982114443
Name:GRAHAM, ALISON CHRISTINE (BCBA)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:CHRISTINE
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 AUTUMN ROUGE
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0133
Mailing Address - Country:US
Mailing Address - Phone:559-270-4210
Mailing Address - Fax:
Practice Address - Street 1:6051 FM 3009 # 215
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-3433
Practice Address - Country:US
Practice Address - Phone:559-270-4210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133001196103K00000X
TX3723103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst