Individual ProviderAmanda Kaye AylingCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E 4th Plain Blvd, Bldg 17 Ste B222, Vancouver, WA 98661-3713(360) 397-8484(619) 346-4020PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Kaye Ayling does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1356707988Provider TypeIndividualFull NameAyling, Amanda KayeTitleMs.GenderFemaleSole ProprietorNoEnumeration Date1/12/2016Last Updated9/27/2021Contact InformationPractice LocationPractice Address1601 E 4th Plain Blvd, Bldg 17 Ste B222, Vancouver, WA 98661-3713Phone(360) 397-8484Fax(360) 397-8494Mailing LocationMailing Address3132 Jefferson St, San Diego, CA 92110-4421Phone(619) 346-4020Fax(360) 397-8494Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer