Individual
AGIANIT PAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 NAHKODA DR, MIAMI SPRINGS, FL 33166-4417
(786) 991-7325
Mailing address
155 NAHKODA DR, MIAMI SPRINGS, FL 33166-4417
(786) 991-7325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179926100
—
FL
Enumeration date
01/10/2019
Last updated
01/10/2019
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