Individual
COLLEEN DENISE BAGONYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(732) 806-6025
Mailing address
4400 4TH ST N APT 207, ARLINGTON, VA 22203-3049
(732) 710-1989
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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