Most Relevant Information
Provider Data
| NPI Number: | 1003359829 |
| Provider Name: | AISHA PAYNE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-15-04355 |
Most Important Dates
| Enumeration Date: | 11/28/2016 |
| Last Updated: | 11/28/2016 |
Provider Practice Location
452 N EOLA RD
SUITE A
AURORA
IL
605029612
Practice Location Phone/Fax
| Phone: | 6309990401 |
| Fax: | 6304239669 |
Provider Mailing Location
452 N EOLA RD
SUITE A
AURORA
IL
605029612
Provider Mailing Phone/Fax
| Phone: | 6309990401 |
| Fax: | 6304239669 |