Provider Demographics
NPI:1477032142
Name:PAYNE, HOUSTON MICHAEL
Entity type:Individual
Prefix:MR
First Name:HOUSTON
Middle Name:MICHAEL
Last Name:PAYNE
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:HOUSTON
Other - Middle Name:MICHAEL
Other - Last Name:PAYNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:4127 NW 122ND ST
Mailing Address - Street 2:ATE C
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8880
Mailing Address - Country:US
Mailing Address - Phone:405-455-6868
Mailing Address - Fax:405-562-3444
Practice Address - Street 1:4127 NW 122ND ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8818
Practice Address - Country:US
Practice Address - Phone:405-455-6868
Practice Address - Fax:405-562-3444
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician