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You can actually try to get licensed on a few distinctive tiers to become a paramedic. Education varies and it will be determined by the state you are seeking certification in. Many county’s have their own examination, and other counties run their certification through the National Registry of Emergency Medical Technicians (NREMT). No matter who supervises the licensing, be it federal or local, the 1st step is to sign up for an approved course. You must ensure the school is recognized, or the courses doesn’t matter, and you’ll be wasting your energy.