Powell, Payton Olivia

Powell, Payton Olivia is an individual health care provider with primary practice located at 719 Spencer St , Logansport IN 46947-3583. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Powell, Payton Olivia can be contacted via phone (765) 513-9691.

Contact Information

Primary practice address
719 Spencer St Logansport IN 46947-3583
Phone: (765) 513-9691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 3850103248 Indiana

Profile Details

NPI number 1639891989
LBN Legal business name Powell, Payton Olivia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2022
Last updated Sep 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639891989 NPPES
Indiana Other RBT-21-177553 BEHAVIOR ANALYST CERTIFICATION BOARD

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