Most Relevant Information
Provider Data
| NPI Number: | 1003569948 |
| Provider Name: | ALLISON D BURCHETT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/01/2022 |
| Last Updated: | 08/15/2022 |
Provider Practice Location
10019 FOREST GREEN BLVD
LOUISVILLE
KY
402235119
Practice Location Phone/Fax
| Phone: | 5028931380 |
| Fax: |
Provider Mailing Location
10019 FOREST GREEN BLVD
LOUISVILLE
KY
402235119
Provider Mailing Phone/Fax
| Phone: | 5028931380 |
| Fax: |