Individual provider Active NPI

Alyssa Alexis Alonzo

  • Behavior Technician
  • Von Ormy, TX
National Provider Identifier
1861397788
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
45646489 Issued in TX
Practice address
15542 Mint Patch MDW
Von Ormy, TX 78073-2237
Phone
(210) 393-5237
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 45646489 TX Primary

Addresses

Primary practice location

15542 Mint Patch MDW
Von Ormy, TX 78073-2237

Mailing address

15542 Mint Patch MDW
Von Ormy, TX 78073-2237
Phone (210) 393-5237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1861397788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15542 MINT PATCH MDW",
            "city": "VON ORMY",
            "state": "TX",
            "postal_code": "780732237",
            "telephone_number": "210-393-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15542 MINT PATCH MDW",
            "city": "VON ORMY",
            "state": "TX",
            "postal_code": "780732237",
            "telephone_number": "210-393-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "ALYSSA",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "45646489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Von Ormy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.