Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALYSSA NICOLE BOURQUE
Active Sole ProprietorALYSSA NICOLE BOURQUE is a Behavior Analyst healthcare provider located in SLOCOMB, Alabama. NPI 1104599257 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · SLOCOMB, AL
Registration Details
- NPI Number
- 1104599257
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2021 (4.8714684456738 yrs)
- Last Updated
- Jul 26, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
612 S WATFORD RDSLOCOMB, AL, 363756952Browse AL providers · Browse ZIP 36375
- Phone
- 3342585482
- Primary Specialty
-
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.