Provider Demographics
NPI:1265235675
Name:O'CONNOR, ALLYSA (BCBA)
Entity type:Individual
Prefix:
First Name:ALLYSA
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 SUNNY SLOPE RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3603
Mailing Address - Country:US
Mailing Address - Phone:267-596-4101
Mailing Address - Fax:
Practice Address - Street 1:281 SUMMERHILL RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4279
Practice Address - Country:US
Practice Address - Phone:856-966-5122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst