MEDICARE: ALYSSA PRICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-82895	CA

General Provider Information

NPI Number	:	1477205938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA PRICE

Provider Business Mailing Address
First Line	:	973 SHARON LN
Second Line	:
City	:	FELTON
State	:	CA
Zip	:	95018-9151
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 SANTA CRUZ ST
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-6073
Country	:	US
Telephone Number	:	831-316-4699
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	09/22/2025

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Directions to “ ALYSSA PRICE ” Practice Location

Language	Start Address	Practice Location

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