Provider Demographics
NPI:1386436210
Name:BUXTON, ALLIE RYANNE
Entity type:Individual
Prefix:
First Name:ALLIE
Middle Name:RYANNE
Last Name:BUXTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1174 JONQUIL LN
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:IA
Mailing Address - Zip Code:50036-7142
Mailing Address - Country:US
Mailing Address - Phone:515-298-3359
Mailing Address - Fax:
Practice Address - Street 1:7755 OFFICE PLAZA DR N STE 105
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-2339
Practice Address - Country:US
Practice Address - Phone:515-505-7283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst