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Individual

AMARILYS AYALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6000 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-4205
(321) 732-3723
(321) 352-7168
Mailing address
260 WESTFIELD RD, HOLYOKE, MA 01040-1662
(413) 534-3299

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114513600
FL
01
RBT-22-217908
RBT CERTIFICATE
FL
Enumeration date
12/06/2018
Last updated
09/12/2022
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