Individual provider Active NPI

Mary Ayala, BCBA, LBA

  • Behavior Analyst
  • Killeen, TX
National Provider Identifier
1407396906
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3010 Issued in TX
Practice address
4003 W Stan Schlueter Loop Ste 3
Killeen, TX 76549-6120
Phone
(719) 352-2970
Fax
(254) 267-1091
NPI assigned
Mar 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 3010 TX Primary
Behavior Technician 106S00000X 8347 TX

Addresses

Primary practice location

4003 W Stan Schlueter Loop Ste 3
Killeen, TX 76549-6120

Mailing address

5212 Allegany Dr
Killeen, TX 76549-5648
Phone (719) 352-2970

Other practice location 1

1200 E Stan Schlueter Loop Ste 107
Killeen, TX 76542-5482
Phone (727) 278-2479

Other practice location 2

5212 Allegany Dr
Killeen, TX 76549-5648
Phone (719) 352-2970

Other names 1

  • Mary Rosado Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3010TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ayala's Therapist Behavior Analyst Current Accepting new patients
Autism Behavior Support, LLC Behavior Analyst CurrentSince Aug 2, 2020 Accepting new patients
Learning Through Behavior Past Accepting new patients
Learning Through Behavior Past Accepting new patients

Locations

445 E Cheyenne Mountain Blvd
Ste C
Colorado Springs, CO 80906
Phone (719) 331-3929

4003 W Stan Schlueter Loop
Ste 3
Killeen, TX 76549
Phone (254) 630-1578

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407396906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 ALLEGANY DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495648",
            "telephone_number": "719-352-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 3",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496120",
            "telephone_number": "719-352-2970",
            "fax_number": "254-267-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Stan Schlueter Loop Ste 107",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765425482",
            "country_code": "US",
            "telephone_number": "727-278-2479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5212 Allegany Dr",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765495648",
            "country_code": "US",
            "telephone_number": "719-352-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "MARY",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3010",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "8347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROSADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.