Healthcare Provider Details
I. General information
NPI: 1295644300
Provider Name (Legal Business Name): PAIGE PATTON BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1667 US 183 BLDG 1
LEANDER TX
78641-1393
US
IV. Provider business mailing address
1667 US 183 BLDG 1
LEANDER TX
78641-1393
US
V. Phone/Fax
- Phone: 512-316-7375
- Fax:
- Phone: 737-281-0220
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: