Alexander Ayala, RBT-18-52915

NPI #1023508140 in Itasca, Illinois

Provider Information

NPI Number: 1023508140
Entity Type: Individual
Name: Alexander Ayala, RBT-18-52915
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-18-52915
Enumeration Date: May 14, 2018
Last Updated: May 14, 2018

Practice Location

Address: 528 HICKORY DR
City: Itasca
State: Illinois
ZIP Code: 60143-1653
Phone: (630) 414-9504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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