Most Relevant Information
Provider Data
| NPI Number: | 1003684960 |
| Provider Name: | LYDIA PAYNE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2023 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
10134 6TH ST STE I
RANCHO CUCAMONGA
CA
917305857
Practice Location Phone/Fax
| Phone: | 9093041039 |
| Fax: |
Provider Mailing Location
10134 6TH ST STE I
RANCHO CUCAMONGA
CA
917305857
Provider Mailing Phone/Fax
| Phone: | 9093041039 |
| Fax: |