Individual
PAIGE DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 216-8837
Mailing address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13561
—
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-22-13561
BACB
—
Enumeration date
07/10/2018
Last updated
11/03/2022
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