NPI 1447765284 · live from the CMS NPI Registry
Lena Marie Ayala-Martinez, BCBA
Behavior Analyst in Homewood, IL. National Provider Identifier 1447765284, active.
NPI record
| NPI | 1447765284 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 18324 Ashland Ave, Homewood, IL 60430 |
| Practice phone | 224-801-1717 |
| Mailing address | 7604 Tapper Ave, Hammond, IN 46324 |
| Enumerated | December 1, 2017 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-17-27703 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.