Active NPI
Allison Dillon
- Behavior Analyst
- Canton, GA
National Provider Identifier
1104324201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-41551
- Practice address
- 535 Riverstone Pkwy Ste 101
Canton, GA 30114-2566 - Phone
- (470) 863-3090
- Fax
- (470) 648-1778
- NPI assigned
- Jan 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-37406 | AZ | |
| Behavior Analyst | 103K00000X | 1-20-41551 | AZ | Primary |
Addresses
Primary practice location
535 Riverstone Pkwy Ste 101
Canton, GA 30114-2566
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | . | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-37406 | AZ | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About ABA Ga LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1104324201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028",
"telephone_number": "866-610-0580",
"fax_number": "407-588-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 RIVERSTONE PKWY STE 101",
"city": "CANTON",
"state": "GA",
"postal_code": "301142566",
"telephone_number": "470-863-3090",
"fax_number": "470-648-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2021-02-22",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "RBT-17-37406",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "1-20-41551",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": ".",
"affiliation": "N",
"endpointDescription": ".",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "535 Riverstone Pkwy Ste 101",
"city": "Canton",
"state": "GA",
"country_code": "US",
"postal_code": "301142566",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, GA
- Vincent Daniel Dicarlo, MD
- Douglas Dickey
- Digestive Healthcare of Ga, P.C. (Digestive Healthcare of GA Canton)
- Dillard Academy
- Dillard Academy (Dillard charter Academy)
- Patrice James Dilwood, PHARMD
- Dima Healthcare, Inc (Northcrest Urgent Care & Family Practice)
- Dirk Russell D.M.D., P.C.
- Priya N Dixit, DDS MPH
- Loryn Hill Dobbins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.