| Mary Ayala | |
|
4003 W Stan Schlueter Loop Ste 3 Killeen TX 76549-6120 | |
| (719) 352-2970 | |
| (254) 267-1091 |
| Full Name | Mary Ayala |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4003 W Stan Schlueter Loop Ste 3, Killeen, Texas |
| Authorized Official Name and Position | Mary C Ayala (OWNER) |
| Authorized Official Contact | 7193522970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ayala 5212 Allegany Dr Killeen TX 76549-5648 Ph: (719) 352-2970 | Mary Ayala 4003 W Stan Schlueter Loop Ste 3 Killeen TX 76549-6120 Ph: (719) 352-2970 |
| NPI Number | 1083244958 |
|---|---|
| Provider Enumeration Date | 01/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083244958 | NPI | - | NPPES |
| TRICARE | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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