Payton Breann Banville

NPI #1053978114 in Northridge, California

Provider Information

NPI Number: 1053978114
Entity Type: Individual
Name: Payton Breann Banville
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 23, 2019
Last Updated: May 23, 2019

Practice Location

Address: 9335 RESEDA BLVD # 101
City: Northridge
State: California
ZIP Code: 91324-2968
Phone: (818) 960-0630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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