Provider Demographics
NPI:1881300176
Name:SWARTHOUT, PAIGE NICOLE (BCBA)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:NICOLE
Last Name:SWARTHOUT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3107 N SAINT VINCENT ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1863
Mailing Address - Country:US
Mailing Address - Phone:352-630-1501
Mailing Address - Fax:
Practice Address - Street 1:3107 N SAINT VINCENT ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1863
Practice Address - Country:US
Practice Address - Phone:352-630-1501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12584171103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst