Individual provider · NPI-1
Mary Ayala, BCBA, LBA
Behavior Analyst · Killeen, TX
NPI number1407396906
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1407396906
- Entity type
- Individual (NPI-1)
- Name
- Mary Ayala
- Credential
- BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2017
- Certification date
- Jul 20, 2020
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 3010 | TX | Yes |
| 106S00000X | Behavior Technician | 8347 | TX |
Other names
- Mary Rosado (Former Name)
Practice location
4003 W Stan Schlueter Loop Ste 3Killeen, TX 76549-6120
Phone 719-352-2970 · Fax 254-267-1091
Mailing address
5212 Allegany DrKilleen, TX 76549-5648
Phone 719-352-2970
Other practice locations
1200 E Stan Schlueter Loop Ste 107
Killeen, TX 76542-5482
Killeen, TX 76542-5482
Phone 727-278-2479
5212 Allegany Dr
Killeen, TX 76549-5648
Killeen, TX 76549-5648
Phone 719-352-2970
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