Provider Demographics
NPI:1295096113
Name:ALLGOOD, ALICIA (BCBA, LBA, ASW)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:ALLGOOD
Suffix:
Gender:F
Credentials:BCBA, LBA, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 VAN NESS AVE APT 501
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-1613
Mailing Address - Country:US
Mailing Address - Phone:917-684-1673
Mailing Address - Fax:
Practice Address - Street 1:85 DELANCEY ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-3182
Practice Address - Country:US
Practice Address - Phone:917-684-1673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001304103K00000X
CA1301951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst