Alexandria Angel Ayala

Individual provider Active NPI Behavior Technician · West Springfield, MA

NPI 1881429645 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1881429645
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
900 Riverdale St Unit 286
West Springfield, MA 01089-4900
Phone
(564) 209-0201
NPI assigned
Sep 3, 2024
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

900 Riverdale St Unit 286
West Springfield, MA 01089-4900

Mailing address

9 Armory St Apt 2R
Springfield, MA 01105-1039
Phone (564) 209-0201

Other providers in West Springfield, MA

All providers in West Springfield, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.