Individual
PAYTON LEEANNA KNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(703) 506-0123
Mailing address
416 CLEVELAND AVE, RIVERSIDE, NJ 08075-4004
(856) 238-0300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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