Landyn L Bagwell
Individual provider Active NPI Behavior Technician · Mt Juliet, TN
NPI 1083476584 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1083476584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1535 N Mount Juliet Rd
Mt Juliet, TN 37122-3315 - Phone
- (615) 560-6622
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1535 N Mount Juliet Rd
Mt Juliet, TN 37122-3315
Mailing address
630 Providence Pkwy Apt 3213
Mt Juliet, TN 37122-2675
Phone (270) 994-1945
Other providers in Mt Juliet, TN
- Avery Danielle Austin
- Jessica Amanda Auten
- Authentically You Counseling LLC
- Claudia Avila-Lopez
- Anasimon Samy Riad Awad
- Asia Bailey Mitchell
- Michele Davis Bailey
- Linda Baird
- Balance Point Wellness, LLC
- Sydney Rhian Ballard
All providers in Mt Juliet, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.