Individual
LAUREN ROSE CHIDA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2329 E WT HARRIS BLVD, CHARLOTTE, NC 28213-5186
(980) 771-2188
Mailing address
2329 E WT HARRIS BLVD, CHARLOTTE, NC 28213-5186
(980) 771-2188
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-27856
NC
103K00000X
Behavior Analyst
Primary
1561
NC
Other
Enumeration date
08/09/2017
Last updated
04/15/2024
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