Provider Demographics
NPI:1992290803
Name:MASLIJ, ALISON (MA, LBS)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:MASLIJ
Suffix:
Gender:F
Credentials:MA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 PATRIOT CIR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MTNG
Mailing Address - State:PA
Mailing Address - Zip Code:19462-2571
Mailing Address - Country:US
Mailing Address - Phone:610-213-7534
Mailing Address - Fax:
Practice Address - Street 1:105 PATRIOT CIR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MTNG
Practice Address - State:PA
Practice Address - Zip Code:19462-2571
Practice Address - Country:US
Practice Address - Phone:610-213-7534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002292103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst