Provider Demographics
NPI:1851005169
Name:DOTY, PAIGE (BCBA)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:DOTY
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 1:14992 TOLEDO ST
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:MI
Mailing Address - Zip Code:48134-9603
Mailing Address - Country:US
Mailing Address - Phone:248-877-6895
Mailing Address - Fax:
Practice Address - Street 1:4201 VARSITY DR STE C
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-5005
Practice Address - Country:US
Practice Address - Phone:248-877-6895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician