Individual
AISHA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 N EOLA RD, SUITE A, AURORA, IL 60502-9612
(630) 999-0401
(630) 423-9669
Mailing address
452 N EOLA RD, SUITE A, AURORA, IL 60502-9612
(630) 999-0401
(630) 423-9669
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-04355
IL
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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