NPI 1588093520 · live from the CMS NPI Registry
Jacob Adrian Ayala
Behavior Analyst in Tacoma, WA. National Provider Identifier 1588093520, active.
NPI record
| NPI | 1588093520 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9720 S Tacoma Way, Tacoma, WA 98499 |
| Practice phone | 253-682-0320 |
| Mailing address | 6418 160th Avenue Ct E, Apt E, Sumner, WA 98390 |
| Enumerated | November 8, 2013 |
| Last updated | November 8, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | cg60414095 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.