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Contact Information

PATRICIA M BAGG, CCC-SLP, BCBA, LBA
11736 SUNRISE VALLEY DR
RESTON, VA20191-1444
 Phone: 908-216-2593
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for PATRICIA M BAGG · (Female)

NPI Number 1871030817
Status Active
Credentials CCC-SLP, BCBA, LBA
Entity Individual
Enumeration date 01/29/2017
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0133000547
  • VA License # 2202007683
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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