BEGIN:VCARD VERSION:3.0 FN:Madelyn Ayala N:Ayala;Madelyn;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+18558326727 URL:https://www.gale.care/providers/ca/san-diego/madelyn-ayala-1497340723 NOTE:NPI 1497340723. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1497340723 END:VCARD