Alyssa Nicole Bourque

NPI #1104599257 in Slocomb, Alabama

Provider Information

NPI Number: 1104599257
Entity Type: Individual
Name: Alyssa Nicole Bourque
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 26, 2021
Last Updated: Jul 26, 2021

Practice Location

Address: 612 S WATFORD RD
City: Slocomb
State: Alabama
ZIP Code: 36375-6952
Phone: (334) 258-5482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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