Individual
JACOB ADRIAN AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9720 S TACOMA WAY, TACOMA, WA 98499-4456
(253) 682-0320
Mailing address
6418 160TH AVENUE CT E, APT E, SUMNER, WA 98390-3068
(480) 754-9552
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60414095
WA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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