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NPI Code Detail

MEDICARE: LEJON PAYNES II

MEDICARE: LEJON PAYNES II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1659220507
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEJON PAYNES II
Provider Business Mailing Address
First Line : 7700 HOUSE FINCH DR
Second Line :
City : AUSTIN
State : TX
Zip : 78744-4720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3737 EXECUTIVE CENTER DR STE 255
Second Line :
City : AUSTIN
State : TX
Zip : 78731-1633
Country : US
Telephone Number : 410-910-1451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ LEJON PAYNES II ” Practice Location

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