Provider Demographics
NPI:1285525162
Name:PAIGE, DAVEISHIA A
Entity type:Individual
Prefix:
First Name:DAVEISHIA
Middle Name:A
Last Name:PAIGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4599 RIDGELINE DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-9393
Mailing Address - Country:US
Mailing Address - Phone:925-430-9946
Mailing Address - Fax:
Practice Address - Street 1:850 TOWBIN AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5928
Practice Address - Country:US
Practice Address - Phone:848-884-0704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician