ALYSSA NICOLE BOURQUE
NPI 1104599257
Behavior Analyst in Slocomb, AL

Q: What is Alyssa Bourque's NPI number?

The NPI number for Alyssa Bourque is 1104599257. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Q: What is Alyssa Bourque's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Bourque was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2021

612 S WATFORD RD, SLOCOMB, AL 36375(334) 258-5482 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alyssa Nicole Bourque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA NICOLE BOURQUE (NPI 1104599257) is an individual behavior analyst provider in Slocomb, Alabama and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1104599257

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameALYSSA NICOLE BOURQUE

Location Address612 S WATFORD RDSlocomb, AL 36375-6952

Mailing Address612 S Watford RdSlocomb, AL 36375-6952 · (334) 258-5482

Phone(334) 258-5482

Sole ProprietorYes

Enumeration DateJuly 26, 2021

NPPES CertifiedJuly 26, 2021

✔ NPI 1104599257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

612 S WATFORD RD, Slocomb, AL 36375

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Other Identifiers 1

Medicaid54217716AL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Bourque's NPI number?

The NPI number for Alyssa Bourque is 1104599257. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Alyssa Bourque located?

Alyssa Bourque practices at 612 S Watford Rd, Slocomb, AL 36375. The listed phone number is (334) 258-5482.

What is Alyssa Bourque's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Alyssa Bourque was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.