Healthcare Provider Details

I. General information

NPI: 1457826117
Provider Name (Legal Business Name): ALYSSA ARMSTRONG M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSSA DI DIO M.S., BCBA

II. Dates (important events)

Enumeration Date: 10/09/2018
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1054 S DE ANZA BLVD STE 105
SAN JOSE CA
95129-3553
US

IV. Provider business mailing address

1054 S DE ANZA BLVD STE 105
SAN JOSE CA
95129-3553
US

V. Phone/Fax

Practice location:
  • Phone: 408-320-5139
  • Fax:
Mailing address:
  • Phone: 408-320-5139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-42552
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: