Bagley, Richard Shawn

Bagley, Richard Shawn is an individual health care provider with primary practice located at 1010 Executive Center Dr Suite 100, Orlando FL 32803-3529. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Bagley, Richard Shawn can be contacted via phone (407) 592-8489.

Contact Information

Primary practice address
1010 Executive Center Dr Suite 100 Orlando FL 32803-3529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-02-0248 Florida

Profile Details

NPI number 1902049547
LBN Legal business name Bagley, Richard Shawn
Credentials B.C.A.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Apr 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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