Individual
PAIGE MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7905 N MEADOWLARK WAY STE C&D, COEUR D ALENE, ID 83815-5041
(208) 618-2593
Mailing address
17731 FULLERFARM ST, NORTHRIDGE, CA 91325-1312
(818) 439-3356
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/12/2021
Last updated
07/28/2026
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