Active NPI
Mary Ayala, BCBA, LBA
- Behavior Analyst
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3010
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3010 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayala's Therapist | Behavior Analyst | Current | Accepting new patients |
| Autism Behavior Support, LLC | Behavior Analyst | Current | 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.
-
- Community/Behavioral Health Agency
- Killeen, TX
- NPI 1194180463
-
- Assistant Behavior Analyst
- Killeen, TX
- NPI 1629502117
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.