Provider Demographics
NPI:1528503737
Name:UCKELE, ALLYSON (BCBA)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:UCKELE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4425
Mailing Address - Country:US
Mailing Address - Phone:914-768-8525
Mailing Address - Fax:914-930-6628
Practice Address - Street 1:600 MAMARONECK AVE STE 400
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1613
Practice Address - Country:US
Practice Address - Phone:914-768-8525
Practice Address - Fax:914-930-6628
Is Sole Proprietor?:No
Enumeration Date:2016-12-23
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-16-24881103K00000X
NY002774-01103K00000X
CT1429103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst