Healthcare Provider Details

I. General information

NPI: 1386173219
Provider Name (Legal Business Name): BRIANNA NICOLE PAIGE MED, BCBA, COBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNA NICOLE ROBINSON MED, BCBA, COBA

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 OLDE WORTHINGTON RD
WESTERVILLE OH
43082-8985
US

IV. Provider business mailing address

542 AMHERST ST STE B
NASHUA NH
03063-1016
US

V. Phone/Fax

Practice location:
  • Phone: 844-482-4222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCOBA.00577
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: