Individual
PAYTON R ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
(260) 755-1438
Mailing address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
(260) 755-1438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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