Individual
MBUH PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 GERRY LN, SICKLERVILLE, NJ 08081-4472
(856) 246-9340
Mailing address
1801 LAUREL RD UNIT 1007, LINDENWOLD, NJ 08021-6739
(856) 246-9340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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