IndividualActive
Allyssa Phonglom
NPI 1477108249 · Behavior Technician · Elk Grove, CA
Allyssa Phonglom is a Behavior Technician provider in Elk Grove, CA (NPI 1477108249).
Provider details
- NPI number
- 1477108249
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476
Phone: (209) 572-2589
Street-level locationGet directions
Mailing address
Po Box 5157
Modesto, CA 95352-5157
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2019-08-07
Frequently asked questions
- What is Allyssa Phonglom's NPI number?
- Allyssa Phonglom's National Provider Identifier (NPI) is 1477108249, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Allyssa Phonglom's specialty?
- Allyssa Phonglom is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Allyssa Phonglom located?
- Allyssa Phonglom's practice location on file with NPPES is 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476.
- What is Allyssa Phonglom's phone number?
- The practice phone number listed in the NPPES registry for Allyssa Phonglom is (209) 572-2589.
- Is Allyssa Phonglom's NPI active?
- Yes — Allyssa Phonglom's NPI (1477108249) is active in the NPPES registry as of the last update on 2019-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.