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PAYTON BROOKE MUMMAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
9601 BUSTLETON AVE STE A, PHILADELPHIA, PA 19115-3810
(856) 346-0005
Mailing address
19750 S VERMONT AVE STE 140, TORRANCE, CA 90502-1130
(310) 324-1753

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006089
PA
106E00000X
Assistant Behavior Analyst

Other

Enumeration date
03/12/2021
Last updated
02/14/2024
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