Hagan, Connor Brooks

Hagan, Connor Brooks is an individual health care provider with primary practice located at 3761 Johnson Hall Dr , Masonic Home KY 40041-9998. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Hagan, Connor Brooks can be contacted via phone (502) 293-1695.

Contact Information

Primary practice address
3761 Johnson Hall Dr Masonic Home KY 40041-9998
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-226623

Profile Details

NPI number 1528759412
LBN Legal business name Hagan, Connor Brooks
Credentials BS, RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2023
Last updated Feb 21st, 2024 - about last year

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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