Individual
ALEXANDRIA ANGEL AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 RIVERDALE ST UNIT 286, WEST SPRINGFIELD, MA 01089-4900
(564) 209-0201
Mailing address
9 ARMORY ST APT 2R, SPRINGFIELD, MA 01105-1039
(564) 209-0201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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