Individual
CAROLINE E PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 WINNING COLORS RD, STAFFORD, VA 22556-6658
(540) 220-7306
Mailing address
21 WINNING COLORS RD, STAFFORD, VA 22556-6658
(540) 220-7306
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
B63400529
VA
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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