NPI 1669892527 · live from the CMS NPI Registry
Dehazard Allen, BCBA
Behavior Analyst in Macon, GA. National Provider Identifier 1669892527, active.
NPI record
| NPI | 1669892527 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4931 Riverside Dr Ste 400a, Macon, GA 31210 |
| Practice phone | 478-219-7626 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268 |
| Enumerated | April 18, 2014 |
| Last updated | April 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-14-9932 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.