Individual
REBECCA PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 OLD VINEYARD RD, WINSTON SALEM, NC 27104-4740
(336) 251-1180
(336) 251-1181
Mailing address
3709 OLD VINEYARD RD, WINSTON SALEM, NC 27104
(336) 251-1180
(336) 251-1181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-6381
NC
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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