Individual
ALIDRA PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 HARBOR LN N STE 1200, PLYMOUTH, MN 55447-5103
(612) 439-4650
Mailing address
6801 ZENITH AVE N, BROOKLYN CENTER, MN 55429-4210
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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