NPIMap

Organization Active NPI

Ayala's Therapist

Doing business as Autism Behavior Support

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1013678986
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AYALA'S THERAPIST
Doing business as
Autism Behavior Support
Practice address
445 E Cheyenne MTN. BVLD, Ste C
Colorado Springs, CO 80906-4570
Phone
(719) 352-2970
NPI assigned
Jan 4, 2022
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Ayala, BCBANPI 1407396906
Title
President
Phone
(254) 394-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

445 E Cheyenne MTN. BVLD, Ste C
Colorado Springs, CO 80906-4570

Mailing address

7061 Compass Bend Dr
Colorado Springs, CO 80927-9648
Phone (254) 394-8181

Other practice location 1

4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119
Phone (254) 630-1578

Other identifiers 1

IdentifierTypeStateIssuer
1-19-38385OtherTXABA

Other names 1

  • Autism Behavior Support Doing business as

National Provider Directory

National Provider Directory

Locations

4003 W Stan Schlueter Loop
Ste 201
Killeen, TX 76549
Phone (254) 630-1578

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1013678986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 COMPASS BEND DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809279648",
            "telephone_number": "254-394-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E CHEYENNE MTN. BVLD, STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064570",
            "telephone_number": "719-352-2970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4003 W Stan Schlueter Loop Ste 201",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765496119",
            "country_code": "US",
            "telephone_number": "254-630-1578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AYALA'S THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-394-8181",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABA",
            "identifier": "1-19-38385",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Behavior Support",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Autism Behavior Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.