MEDICARE: ALYSSA ALLY

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1700631413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA ALLY

Provider Business Mailing Address
First Line	:	12202 CLUB DR # 463
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-5546
Country	:	US
Telephone Number	:	407-301-4864
Fax Number	:

Provider Business Practice Location Address
First Line	:	14497 N DALE MABRY HWY STE 220N
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2058
Country	:	US
Telephone Number	:	813-374-0442
Fax Number	:

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

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	04/24/2024

Similar Medicare Providers

1891628970 — FRAGA CONSULTING AND CARE LLC
Practice Location Address:

205 W VIOLET ST
TAMPA, FL
33603-2058

Practice Phone: 656-900-2483
Practice Fax:

1396382545 — ADVANCED MEDICAL TREATMENTS, LLC
Practice Location Address:

4401 W KENNEDY BLVD FL 3
TAMPA, FL
33609-2058

Practice Phone: 412-965-1292
Practice Fax: 706-660-1454

1487406575 — MARIA KARLA RODRIGUEZ BUSTO
Practice Location Address:

14926 GLASGOW CT
TAMPA, FL
33624-2058

Practice Phone: 813-543-7111
Practice Fax:

1033044896 — MICHELLE ELIASSAINT
Practice Location Address:

10004 N DALE MABRY HWY STE 102
TAMPA, FL
33618-4421

Practice Phone: 877-418-2978
Practice Fax:

1285562397 — JYOTIKA JAIN
Practice Location Address:

12813 N DALE MABRY HWY
TAMPA, FL
33618-2803

Practice Phone: 813-962-1400
Practice Fax:

1356276786 — ARMANDO FRAGALE
Practice Location Address:

10004 N DALE MABRY HWY STE 102
TAMPA, FL
33618-4421

Practice Phone: 877-418-2978
Practice Fax: 866-500-2186

Directions to “ ALYSSA ALLY ” 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.