Individual
SHANTINQUE PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31557 SCHOOLCRAFT RD STE 200, LIVONIA, MI 48150-1848
(734) 466-5021
Mailing address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/26/2022
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