Bagg, Patricia M

Bagg, Patricia M is an sole proprietor health care provider with primary practice located at 11736 Sunrise Valley Dr , Reston VA 20191-1444. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Bagg, Patricia M can be contacted via phone (908) 216-2593.

Contact Information

Primary practice address
11736 Sunrise Valley Dr Reston VA 20191-1444
Phone: (908) 216-2593
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000547 Virginia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202007683 Virginia

Profile Details

NPI number 1871030817
LBN Legal business name Bagg, Patricia M
Credentials CCC-SLP, BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2017
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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