NPI 1972021806 · live from the CMS NPI Registry
Tavia Renee Alley, BCBA
Behavior Analyst in Spring, TX. National Provider Identifier 1972021806, active.
NPI record
| NPI | 1972021806 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 21613 Rhodes Rd, Spring, TX 77388 |
| Practice phone | 281-407-1690 |
| Mailing address | 5556 N Meridian St, Indianapolis, IN 46208 |
| Enumerated | August 30, 2017 |
| Last updated | November 26, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-30210 (IL) |
| Behavior Analyst primary | 103K00000X | 1-19-37085 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.