SearchVirginia103K00000X

Patricia Bagg, CCC-SLP, BCBA, LBA

NPI 1871030817 · on the registry since 2017 · sole proprietor

Practice

Address
11736 Sunrise Valley Dr
Reston, VA 20191
Phone
(908) 216-2593

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
103K00000X
235Z00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia