Provider Demographics
NPI:1912257023
Name:PAYNE, DANIEL O (BCBA, COBA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:O
Last Name:PAYNE
Suffix:
Gender:M
Credentials:BCBA, COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2557 NOTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-1119
Mailing Address - Country:US
Mailing Address - Phone:614-214-1858
Mailing Address - Fax:
Practice Address - Street 1:6036 TARA HILL DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3803
Practice Address - Country:US
Practice Address - Phone:614-962-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst