NPI 1659028173 · live from the CMS NPI Registry
Keisha Lorene Allen
Behavior Analyst in Dearborn, MI. National Provider Identifier 1659028173, active.
NPI record
| NPI | 1659028173 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2021 Monroe St Ste 304, Dearborn, MI 48124 |
| Practice phone | 517-245-4777 |
| Mailing address | Po Box 12279, Lansing, MI 48901 |
| Enumerated | March 4, 2022 |
| Last updated | March 4, 2022 |
| Sole proprietor | Yes |
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.