Individual
PAIGE THERESE VANMETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 TRIPLE CREEK DR STE 78, LONGVIEW, TX 75601-3000
(903) 812-4874
Mailing address
1125 JUDSON RD, LONGVIEW, TX 75601-5192
(903) 812-4874
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
10413
TX
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10413
QABA
TX
01
—
17-34170
RBT CERTIFICATION
TX
Enumeration date
09/28/2019
Last updated
01/29/2021
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