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Individual
PAIGE PARENT
Active
Individual
PAIGE PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-85064
FL
106S00000X
Behavior Technician
106S00000X
FL
247200000X
Other Technician
—
—
Other
Enumeration date
06/03/2024
Last updated
07/14/2026
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