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NPI 1962047514 · live from the CMS NPI Registry

Allison Kate Baylis, BA BCBA

Behavior Analyst in South Bend, IN. National Provider Identifier 1962047514, active.

NPI record

NPI1962047514 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location17390 Dugdale Dr Ste 100, South Bend, IN 46635
Practice phone574-400-2169
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268
EnumeratedNovember 7, 2019
Last updatedJanuary 26, 2020
Sole proprietorNo
Other namesAllison Beachy

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-19-37449 (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.