MEDICARE: PAIGE CAMERYN GNAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1598588360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE CAMERYN GNAS

Provider Business Mailing Address
First Line	:	10930 W POTTER RD STE A
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-3450
Country	:	US
Telephone Number	:	414-207-9686
Fax Number	:

Provider Business Practice Location Address
First Line	:	10930 W POTTER RD STE A
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-3450
Country	:	US
Telephone Number	:	414-207-9686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2024
Last Update Date	:	12/12/2025

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Directions to “ PAIGE CAMERYN GNAS ” Practice Location

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