Deanna Ivy Payne

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-55115

Practice address

210 Tals Rock Way Ste 3
Cary, NC 27519-1919

Phone

(919) 745-8892

NPI assigned

May 18, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hands Center for Autism

  • Community/Behavioral Health Agency
  • Cary, NC
  • NPI 1881151249
  NPD
• ABA Children Services LLC

  • Behavior Analyst
  • Raleigh, NC
  • NPI 1346909868
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1659808889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SANDRA ST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292700",
            "telephone_number": "919-429-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TALS ROCK WAY STE 3",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191919",
            "telephone_number": "919-745-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Oberlin Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276051345",
            "country_code": "US",
            "telephone_number": "800-442-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DEANNA",
        "middle_name": "IVY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-55115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula M Stapleton DDS PLLC
• Michael Pavlosky
• Christopher Pawlicki, DC
• Sasha Paxton
• Madalyn Marie Payden, MS, OTR/L
• Matthew Thomas Payne
• Tiara Payne
• Tiffany Keshondah Payton, BS, IFTS
• PB Ventures of America
• Pca Pain Care Center of Cary PLLC

• Behavior Analyst in Cary, NC
• Providers in Cary, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.