Kanisha Sade Payne
Kanisha Sade Payne is a Behavior Technician in Fayetteville, Arkansas. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3155 N College Ave Ste 108Fayetteville, AR 72703-3500
Phone: (479) 957-9121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1336877570 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 14, 2022 |
| Last updated in NPPES | August 14, 2022 |
| Certification date | August 14, 2022 |
| Mailing address | 12251 Rambling Rose Way, Farmington, AR 72730-8819 |
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