Provider Demographics
NPI:1538794631
Name:TAYLOR-ALLISON, ALIZA
Entity type:Individual
Prefix:
First Name:ALIZA
Middle Name:
Last Name:TAYLOR-ALLISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6915 DONACHIE RD APT A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-8004
Mailing Address - Country:US
Mailing Address - Phone:410-982-8982
Mailing Address - Fax:
Practice Address - Street 1:6915 DONACHIE RD APT A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-8004
Practice Address - Country:US
Practice Address - Phone:410-982-8982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician