Provider Demographics
NPI:1043986912
Name:BUGAYONG, ALYSSA ROSE (MS BCBA)
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:ROSE
Last Name:BUGAYONG
Suffix:
Gender:
Credentials:MS BCBA
Other - Prefix:MISS
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:CEJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:14367 100TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-7751
Mailing Address - Country:US
Mailing Address - Phone:707-533-3222
Mailing Address - Fax:
Practice Address - Street 1:857 LEBLANC RD
Practice Address - Street 2:
Practice Address - City:BARTON
Practice Address - State:VT
Practice Address - Zip Code:05822-9553
Practice Address - Country:US
Practice Address - Phone:802-505-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician