Individual
ALYSSA BONFIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6247 BONAIRE AVE, NEW PORT RICHEY, FL 34653-1601
(727) 243-4404
Mailing address
6247 BONAIRE AVE, NEW PORT RICHEY, FL 34653-1601
(727) 243-4404
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79339
FL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/16/2019
Last updated
04/25/2025
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