Provider Demographics
NPI:1629715289
Name:PAIGE-LOTT, SHA'KEITHRA LABRIJAYTE' (MS, BCBA)
Entity type:Individual
Prefix:
First Name:SHA'KEITHRA
Middle Name:LABRIJAYTE'
Last Name:PAIGE-LOTT
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:SHA'KEITHRA
Other - Middle Name:JAYTE
Other - Last Name:PAIGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6222 W IH 10 STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-2013
Mailing Address - Country:US
Mailing Address - Phone:210-447-0039
Mailing Address - Fax:
Practice Address - Street 1:6222 W IH 10 STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-2013
Practice Address - Country:US
Practice Address - Phone:210-447-0039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TX1-25-83447103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician