Alyssa Nicole Bourque
Alyssa Nicole Bourque is a Behavior Analyst in Slocomb, Alabama. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
612 S Watford RdSlocomb, AL 36375-6952
Phone: (334) 258-5482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1104599257 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2021 |
| Last updated in NPPES | July 26, 2021 |
| Certification date | July 26, 2021 |
| Mailing address | 612 S Watford Rd, Slocomb, AL 36375-6952 |