Healthcare Provider Details

I. General information

NPI: 1023932324
Provider Name (Legal Business Name): PAIGE PERKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CHERRY ST
COLUMBIA MO
65201-4824
US

IV. Provider business mailing address

415 S MOREY ST
ATLANTA MO
63530-1316
US

V. Phone/Fax

Practice location:
  • Phone: 573-203-3699
  • Fax:
Mailing address:
  • Phone: 573-203-3699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2026037662
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: