Healthcare Provider Details

I. General information

NPI: 1437077849
Provider Name (Legal Business Name): DAYLAN SIMONE PAIGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101A CHRISTENSEN DR
ANCHORAGE AK
99501-2101
US

IV. Provider business mailing address

101A CHRISTENSEN DR
ANCHORAGE AK
99501-2101
US

V. Phone/Fax

Practice location:
  • Phone: 907-418-2092
  • Fax:
Mailing address:
  • Phone: 907-418-2092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-532937
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: