Organization
BAGG THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BAGG CCC-SLP, BCBA, LBA (CEO)
(908) 216-2593
Entity
Organization
Contact information
Practice address
41161 TURKEY OAK DR, ALDIE, VA 20105-5868
(908) 216-2593
Mailing address
41161 TURKEY OAK DR, ALDIE, VA 20105-5868
(908) 216-2593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000547
VA
235Z00000X
Speech-Language Pathologist
Primary
2202007683
VA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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