MEDICARE: CINDY AYALA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		GA

General Provider Information

NPI Number	:	1780553826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY AYALA

Provider Business Mailing Address
First Line	:	5807 BROOKLYN LN
Second Line	:
City	:	NORCROSS
State	:	GA
Zip	:	30093-4177
Country	:	US
Telephone Number	:	678-629-7873
Fax Number	:

Provider Business Practice Location Address
First Line	:	3005 BRECKINRIDGE BLVD STE 230
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-4978
Country	:	US
Telephone Number	:	404-224-9346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

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Directions to “ CINDY AYALA ” Practice Location

Language	Start Address	Practice Location

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