Individual ProviderAlyssa Taylor CoughlinBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address329 Aycrigg Ave, Passaic, NJ 07055-3713(973) 471-3046(914) 714-9558PECOS EnrollmentBased on the most recent information from CMS, provider Alyssa Taylor Coughlin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699486001Provider TypeIndividualFull NameCoughlin, Alyssa TaylorCredentialBCBAGenderFemaleSole ProprietorNoEnumeration Date12/6/2022Last Updated12/6/2022Contact InformationPractice LocationPractice Address329 Aycrigg Ave, Passaic, NJ 07055-3713Phone(973) 471-3046FaxUnlisted FaxMailing LocationMailing Address325 Birch Pkwy, Wyckoff, NJ 07481-2830Phone(914) 714-9558FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-21-53548New Jersey