Allison Lee Abrahamson, MA
Individual provider Active NPI Behavior Analyst · Mequon, WI
NPI 1124516836 · NPPES record last updated Mar 15, 2021
Key facts
- NPI
- 1124516836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 285-140 (WI)
- Practice address
- 10532 N Port Washington Rd
Mequon, WI 53092-5563 - Phone
- (509) 954-9128
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285-140 | WI | MD | Behavioral Analyst |
| RBT-15-03430 | WI | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Developmental Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-03430 | WI | |
| Behavior Analyst | 103K00000X | 285-140 | WI | Yes |
Addresses
Primary practice location
10532 N Port Washington Rd
Mequon, WI 53092-5563
Mailing address
10532 N Port Washington Rd Ste 1B
Mequon, WI 53092-5563
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124516836 | Medicaid | WI |
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.