Antonio Ayala

Individual provider Active NPI Marriage & Family Therapist · Reno, NV

NPI 1336071604 · NPPES record last updated Jun 1, 2026

Key facts

NPI
1336071604
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MI4725 (NV)
Practice address
491 Court St
Reno, NV 89501-1708
Phone
(775) 525-8103
Fax
(775) 525-8105
NPI assigned
Jun 1, 2026
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MI4725NVMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI4725 NV Yes

Addresses

Primary practice location

491 Court St
Reno, NV 89501-1708

Mailing address

491 Court St
Reno, NV 89501-1708
Phone (775) 525-8103

Other providers in Reno, NV

All providers in Reno, NV · Marriage & Family Therapist in Nevada

Sources for this page

Verify at the official NPI Registry.