BEGIN:VCARD VERSION:3.0 FN:Karen Ayala N:Ayala;Karen;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+13014445001 URL:https://www.gale.care/providers/md/rockville/karen-ayala-1427918127 NOTE:NPI 1427918127. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1427918127 END:VCARD