Active NPI
Paige Elizabeth Wooldridge
- Behavior Technician
- West Lafayette, IN
National Provider Identifier
1396538112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1349122
- Practice address
- 3482 McClure Ave
West Lafayette, IN 47906-4164 - Phone
- (765) 838-3547
- NPI assigned
- May 24, 2025
- Last updated
- May 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1349122 | IN | Primary |
Addresses
Primary practice location
3482 McClure Ave
West Lafayette, IN 47906-4164
Mailing address
10716 Radford CT
Fort Wayne, IN 46845-1696
Phone (260) 435-9984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1349122 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748044800000",
"number": "1396538112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10716 RADFORD CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451696",
"telephone_number": "260-435-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3482 MCCLURE AVE",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479064164",
"telephone_number": "765-838-3547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLDRIDGE",
"first_name": "PAIGE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-24",
"last_updated": "2025-05-24",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "BACB1349122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.