Provider Demographics
NPI:1770216616
Name:NEETHER, PAIGE (MA, BCBA)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:NEETHER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 RANCH ROAD 620 S UNIT 105103
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-6274
Mailing Address - Country:US
Mailing Address - Phone:512-920-1880
Mailing Address - Fax:
Practice Address - Street 1:1508 RANCH ROAD 620 S UNIT 105103
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-6274
Practice Address - Country:US
Practice Address - Phone:512-920-1880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst