Individual
KAITLYN AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 306-9843
Mailing address
1365 WILEY RD STE 147, SCHAUMBURG, IL 60173-4357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178019269
IL
101YP2500X
Professional Counselor
180017051
IL
103TS0200X
School Psychologist
Primary
NCSP-64737
IL
106S00000X
Behavior Technician
Primary
RBT-18-67738
IL
Other
Enumeration date
10/11/2018
Last updated
05/04/2026
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