Individual
MS. ELISABETH LAUREN PAYACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1800 NW 167TH PL STE 115, BEAVERTON, OR 97006-4846
(855) 772-8847
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10260200
OR
Other
Enumeration date
01/06/2025
Last updated
09/07/2025
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