Organization
AYALA'S THERAPIST
Active
Other names
Autism Behavior Support
Organization subpart
No
Provider details
NPI number
Authorized official
MARY AYALA BCBA (PRESIDENT)
(254) 394-8181
Entity
Organization
Contact information
Practice address
445 E CHEYENNE MTN. BVLD, STE C, COLORADO SPRINGS, CO 80906-4570
(719) 352-2970
Mailing address
7061 COMPASS BEND DR, COLORADO SPRINGS, CO 80927-9648
(254) 394-8181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-38385
ABA
TX
Enumeration date
01/04/2022
Last updated
05/19/2022
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