MEDICARE: PAIGE ELIZABETH HUDSON

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	1-19-36151	NC
2	106S00000X	Behavior Technician	RBT-16-27403	NC
3	103K00000X	Behavior Analyst	1-19-36151

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801385711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE ELIZABETH HUDSON

Provider Business Mailing Address
First Line	:	11983 TAMIAMI TRL N # 121
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1603
Country	:	US
Telephone Number	:	336-870-3621
Fax Number	:

Provider Business Practice Location Address
First Line	:	11983 TAMIAMI TRL N # 121
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1603
Country	:	US
Telephone Number	:	336-870-3621
Fax Number	:

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

Provider Enumeration Date	:	05/07/2018
Last Update Date	:	07/28/2025

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Directions to “ PAIGE ELIZABETH HUDSON ” Practice Location

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