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1336877570
KANISHA SADE PAYNE
FAYETTEVILLE, AR
NPI
1336877570
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Former Name
KANISHA SADE ECKART
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-08-14
Last Update Date
2022-08-14
Business Address
KANISHA SADE PAYNE
3155 N COLLEGE AVE STE 108
FAYETTEVILLE, AR 72703-3500
Phone number: 479-957-9121
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Mailing Address
KANISHA SADE PAYNE
12251 RAMBLING ROSE WAY
FARMINGTON, AR 72730-8819
Phone number: 479-599-9576
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