Paige Alene Tackett

NPI #1811731037 in Logan, Utah

Provider Information

NPI Number: 1811731037
Entity Type: Individual
Name: Paige Alene Tackett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 21, 2024
Last Updated: Jul 31, 2025

Practice Location

Address: 6405 OLD MAIN HILL
City: Logan
State: Utah
ZIP Code: 84322-0001
Phone: (435) 797-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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