Payton Hinson-Williams

Individual provider Active NPI Behavior Technician · Becker, MN

NPI 1124640859 · NPPES record last updated May 15, 2020

Key facts

NPI
1124640859
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
13990 Woodland CT
Becker, MN 55308-9316
Phone
(651) 829-1071
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

13990 Woodland CT
Becker, MN 55308-9316

Mailing address

13990 Woodland CT
Becker, MN 55308-9316

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL MacBook

Other providers in Becker, MN

All providers in Becker, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.