Most Relevant Information
Provider Data
| NPI Number: | 1003381559 |
| Provider Name: | PAIGE ALEXANDRA MACQUEEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/11/2018 |
| Last Updated: | 10/11/2018 |
Provider Practice Location
6516 BROADWAY ST STE 112
PEARLAND
TX
775817879
Practice Location Phone/Fax
| Phone: | 2812584447 |
| Fax: |
Provider Mailing Location
5031 CRYSTAL BLUFF CT
RICHMOND
TX
774071428
Provider Mailing Phone/Fax
| Phone: | 7139228692 |
| Fax: |