Landyn L Bagwell

NPI #1083476584 in Mt Juliet, Tennessee

Provider Information

NPI Number: 1083476584
Entity Type: Individual
Name: Landyn L Bagwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 29, 2024
Last Updated: Jan 29, 2024

Practice Location

Address: 1535 N MOUNT JULIET RD
City: Mt Juliet
State: Tennessee
ZIP Code: 37122-3315
Phone: (615) 560-6622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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