Individual
ALEJANDRO AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
1700 WINCHESTER BLVD STE 101, CAMPBELL, CA 95008-1163
(844) 876-5177
(408) 625-1119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-36698
OR
106S00000X
Behavior Technician
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Other
Enumeration date
03/28/2018
Last updated
10/12/2020
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