Individual
MISS DEANNA IVY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 TALS ROCK WAY STE 3, CARY, NC 27519-1919
(919) 745-8892
Mailing address
723 SANDRA ST, GARNER, NC 27529-2700
(919) 429-0678
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55115
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/18/2017
Last updated
11/12/2021
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