Ayala, Jenny

Ayala, Jenny is an individual health care provider with primary practice located at 5604 Ellsworth Rd , Fort Smith AR 72903-3224. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Ayala, Jenny can be contacted via phone (479) 926-4673.

Contact Information

Primary practice address
5604 Ellsworth Rd Fort Smith AR 72903-3224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 1-12-11455 Arkansas

Profile Details

NPI number 1255067153
LBN Legal business name Ayala, Jenny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2022
Last updated Jul 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255067153 NPPES
Arkansas Other 1902152952 HOPE 4 AUTISM

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