Angelie Dionisia Ayala

Individual provider Active NPI Behavior Technician · Atlantic Beach, FL

NPI 1184579583 · NPPES record last updated Mar 2, 2026

Key facts

NPI
1184579583
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
997 Atlantic Blvd
Atlantic Beach, FL 32233-3311
Phone
(904) 647-1849
NPI assigned
Mar 2, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Behavioral Solutions Past
since Jan 19, 2025
Accepting new patients
Bloom Behavioral Solutions, Inc. Past
since Jan 19, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

997 Atlantic Blvd
Atlantic Beach, FL 32233-3311

Mailing address

997 Atlantic Blvd
Atlantic Beach, FL 32233-3311

Other providers in Atlantic Beach, FL

All providers in Atlantic Beach, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.