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NPI Code Detail

MEDICARE: RANDE PAIGE

MEDICARE: RANDE PAIGE
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1689964850
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDE PAIGE
Provider Business Mailing Address
First Line : 911 N BUFFALO DR
Second Line : SUITE 213
City : LAS VEGAS
State : NV
Zip : 89128-0381
Country : US
Telephone Number : 702-942-1774
Fax Number : 702-942-1773
Provider Business Practice Location Address
First Line : 911 N BUFFALO DR
Second Line : SUITE 213
City : LAS VEGAS
State : NV
Zip : 89128-0381
Country : US
Telephone Number : 702-942-1774
Fax Number : 702-942-1773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2011
Last Update Date : 10/26/2012

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Directions to “ RANDE PAIGE ” Practice Location

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