IndividualActive
Alyssa Bourque
NPI 1104599257 · Behavior Analyst · Slocomb, AL
Provider details
- NPI number
- 1104599257
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
612 S Watford Rd
Slocomb, AL 36375-6952
Registry dates
- Enumerated
- 2021-07-26
- Last updated
- 2021-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.