Individual
BERNADETTE ROSE AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4477
(208) 563-4450
Mailing address
511 W LAWNDALE DR, MERIDIAN, ID 83646-1649
(209) 355-5554
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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