MEDICARE: ALYSSA PHILLIPE M.A., BCBA

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

General Provider Information

NPI Number	:	1588029722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA PHILLIPE M.A., BCBA

Provider Business Mailing Address
First Line	:	31571 CANYON ESTATES DR STE 117
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0471
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	31571 CANYON ESTATES DR STE 117
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0471
Country	:	US
Telephone Number	:	949-371-5751
Fax Number	:

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

Provider Enumeration Date	:	12/15/2015
Last Update Date	:	11/09/2021

Similar Medicare Providers

1457222143 — ZENITHRX PHARMACY, INC.
Practice Location Address:

31571 CANYON ESTATES DR STE 118
LAKE ELSINORE, CA
92532-0471

Practice Phone: 951-245-4488
Practice Fax: 951-245-4466

1023311651 — FAMILY HEALTH CARE OF SOUTHERN CALIFORNIA
Practice Location Address:

31571 CANYON ESTATES DR , SUITE 225
LAKE ELSINORE, CA
92532-0471

Practice Phone: 951-674-7811
Practice Fax:

1487933842 — MARK G PHILLIPE DDS
Practice Location Address:

31571 CANYON ESTATES DR STE 117
LAKE ELSINORE, CA
92532-0471

Practice Phone: 951-244-9495
Practice Fax:

1619469194 — DEREK B. HAUSER, DDS, INC.
Practice Location Address:

31571 CANYON ESTATES DR STE 117
LAKE ELSINORE, CA
92532-0471

Practice Phone: 951-244-9495
Practice Fax:

1043839699 — J M ASPREC MD
Practice Location Address:

31571 CANYON ESTATES DR , STE 132
LAKE ELSINORE, CA
92532-0471

Practice Phone: 951-674-7811
Practice Fax: 951-674-7812

1114531407 — LOGAN HURST LOOMIS PA-C
Practice Location Address:

31571 CANYON ESTATES DR STE 100
LAKE ELSINORE, CA
92532-0471

Practice Phone: 951-397-4214
Practice Fax: 951-245-8880

Directions to “ ALYSSA PHILLIPE M.A., BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.