Provider Demographics
NPI:1093959819
Name:ALLMAN, ELIZABETH CAROL (MA, BCBA)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CAROL
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7839 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-0476
Mailing Address - Country:US
Mailing Address - Phone:619-639-3340
Mailing Address - Fax:619-639-3340
Practice Address - Street 1:7839 UNIVERSITY AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-0476
Practice Address - Country:US
Practice Address - Phone:619-639-3340
Practice Address - Fax:619-639-3340
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-08-4849103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst