Most Relevant Information
Provider Data
| NPI Number: | 1003394743 |
| Provider Name: | PAIGE SONG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/03/2018 |
| Last Updated: | 08/03/2018 |
Provider Practice Location
1601 S DE ANZA BLVD STE 110
CUPERTINO
CA
950145358
Practice Location Phone/Fax
| Phone: | 6692100301 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |