Moon, Allyson Dickens

Moon, Allyson Dickens is an individual health care provider with primary practice located at 3 Central Plz # 101 , Rome GA 30161-3233. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Moon, Allyson Dickens can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
3 Central Plz # 101 Rome GA 30161-3233
Phone: (855) 832-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Georgia
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1871222869
LBN Legal business name Moon, Allyson Dickens
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2022
Last updated Sep 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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