Individual
CASEY MARIE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ASSISTANT
Contact information
Practice address
15593 STATE HIGHWAY 142W, GATEWOOD, MO 63942-6394
(573) 238-7971
Mailing address
2707 W EDGEWOOD DR, JEFFERSON CITY, MO 65109-5888
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1-03-1115
MI
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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