Individual
PAYTON GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 BOONE AIRE RD, FLORENCE, KY 41042-1260
(859) 349-2567
Mailing address
5037 SANDMAN DR APT 8, TAYLOR MILL, KY 41015-4381
(513) 465-3664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-481316
KY
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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