Most Relevant Information
Provider Data
| NPI Number: | 1003488016 |
| Provider Name: | ALISON MARIE POLLY BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | BH003558 |
Most Important Dates
| Enumeration Date: | 07/11/2021 |
| Last Updated: | 07/11/2021 |
Provider Practice Location
203 S ELMER AVE
SAYRE
PA
188402019
Practice Location Phone/Fax
| Phone: | 6072215303 |
| Fax: |
Provider Mailing Location
203 S ELMER AVE
SAYRE
PA
188402019
Provider Mailing Phone/Fax
| Phone: | 6072215303 |
| Fax: |