Individual
PAYTON BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
39525 W 14 MILE RD STE 100, NOVI, MI 48377-1635
(248) 417-4237
Mailing address
39525 W 14 MILE RD STE 100, NOVI, MI 48377-1635
(248) 417-4237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
09/18/2020
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