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
Phone: (502) 293-1695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Popular Providers
-
Boyd, Morgan
3761 Johnson Hall Dr , Masonic Home KY 40041-9998 -
Thota, Naga Raja
3111 Camino Del Rio N Ste 400 , San Diego CA 92108-5724 -
Newton, Jeri A
3731 Johnson Hall Dr. , Masonic Home KY 40041 -
Wendell, Kynleigh Mari
3761 Johnson Hall Dr , Masonic Home KY 40041-9998 -
Allen, Shelby N
3761 Johnson Hall Dr , Masonic Home KY 40041-9998 -
Hammond, Madison Jo
3761 Johnson Hall Dr , Masonic Home KY 40041-9998 -
Gomez, Dana Lynn
4000 W Michigan Ave , Lansing MI 48917-2856 -
Hanks, Carly Savannah
3761 Johnson Hall Dr , Masonic Home KY 40041-9998