Alyssa J Mount

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

103K00000X Issued in CA

Practice address

710 S Broadway Ste 250
Walnut Creek, CA 94596-5234

Phone

(925) 968-8684

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1164091286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 MEAD ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROADWAY STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965234",
            "telephone_number": "925-968-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNT",
        "first_name": "ALYSSA",
        "middle_name": "J",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "F5649099",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hr@bcbhinc.com",
            "affiliation": "Y",
            "affiliationName": "Building Connections Behavioral Health, Inc",
            "address_1": "710 S Broadway Ste 250",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945965234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tara Mostofi, PAC
• Daniela Mota Vega
• Zahi Michael Mouchabeck, PHARM.D
• Tasnim Diaf Moulton, MS
• Jasmin Moultrie, NP
• Lyndsey Ann Mountain, BSC PHYSIOTHERAPY
• Seyed Mohsen Mousavi Nasab, M.D.
• Moussa F Yazbeck MD Inc
• Teniyah Mouton
• Jason Frederick Moy, MD

• Behavior Technician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.