IndividualActive
Alexander Ayala, RBT-18-52915
NPI 1023508140 · Behavior Technician · Itasca, IL
Provider details
- NPI number
- 1023508140
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT-18-52915
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18-52915 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
528 Hickory Dr
Itasca, IL 60143-1653
Phone: (630) 414-9504
Approximate (ZIP-level) locationGet directions
Mailing address
528 Hickory Dr
Itasca, IL 60143-1653
Registry dates
- Enumerated
- 2018-05-14
- Last updated
- 2018-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.