Individual
JESSICA STARRING PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP, BCABA, LABA
Contact information
Practice address
11311 BUSINESS CENTER DR, NORTH CHESTERFIELD, VA 23236-3199
(804) 378-6141
(804) 378-6183
Mailing address
1516 PORTERS MILL CT, MIDLOTHIAN, VA 23114-1250
(804) 402-8395
(804) 378-6183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004734
VA
Other
Enumeration date
09/05/2013
Last updated
12/02/2025
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