NPI 1215570460 · live from the CMS NPI Registry
Ethan Allen, QMHS
Behavior Analyst in Athens, OH. National Provider Identifier 1215570460, active.
NPI record
| NPI | 1215570460 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 90 Hospital Dr, Athens, OH 45701 |
| Practice phone | 740-592-3091 |
| Mailing address | Po Box 188, Chillicothe, OH 45601 |
| Enumerated | October 21, 2019 |
| Last updated | October 21, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.