Provider Demographics
NPI:1194055095
Name:DEVER, ALISON LYNN (BCBA, MS)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:LYNN
Last Name:DEVER
Suffix:
Gender:F
Credentials:BCBA, MS
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:LYNN
Other - Last Name:BODNAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA, BA
Mailing Address - Street 1:9189 DELEMAR CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3421
Mailing Address - Country:US
Mailing Address - Phone:732-379-1098
Mailing Address - Fax:
Practice Address - Street 1:1818 S AUSTRALIAN AVE STE 420
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6447
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-28
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0-09-3056103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst