Individual
MRS. PAYTON GRISSOM MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
989 KELSO CT, VIRGINIA BEACH, VA 23464-3054
(757) 642-4705
Mailing address
4910 CYPRESS POINT CIR, VIRGINIA BEACH, VA 23455-6872
(757) 633-0912
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003961
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/24/2023
Last updated
11/05/2024
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