Provider Demographics
NPI:1164237970
Name:PAYNE, REBECCA (RBT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:PAYNE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12335 STATE ROUTE 1513
Mailing Address - Street 2:
Mailing Address - City:HAWESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42348-9411
Mailing Address - Country:US
Mailing Address - Phone:270-316-2861
Mailing Address - Fax:
Practice Address - Street 1:1235 31ST ST
Practice Address - Street 2:
Practice Address - City:TELL CITY
Practice Address - State:IN
Practice Address - Zip Code:47586-2688
Practice Address - Country:US
Practice Address - Phone:812-547-9727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYRBT-24-326778106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician