BEGIN:VCARD VERSION:3.0 FN:Alexis Ayala N:Ayala;Alexis;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+18774182978 URL:https://www.gale.care/providers/ca/fresno/alexis-ayala-1689384083 NOTE:NPI 1689384083. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1689384083 END:VCARD