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Individual

PAIGE ERIN DOTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA

Contact information

Practice address
3719 PERSHING AVE APT 3, SAN DIEGO, CA 92104-3494
(619) 916-2510
Mailing address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88809
CA
106E00000X
Assistant Behavior Analyst
Primary
0-22-13561
247200000X
Other Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0-22-13561
BACB
01
1-26-88809
BACB
CA
Enumeration date
07/10/2018
Last updated
05/21/2026
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