Organization
DAGNAN BEHAVIORAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAYLENE DAGNAN BCBA (OWNER)
(239) 822-6886
Entity
Organization
Contact information
Practice address
13332 QUEEN PALM RUN, N FT MYERS, FL 33903-5294
(239) 822-6886
Mailing address
13332 QUEEN PALM RUN, N FT MYERS, FL 33903-5294
(239) 822-6886
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1010546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687169196
—
FL
05
—
687169198
—
FL
Enumeration date
01/21/2011
Last updated
01/21/2011
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