Deidra Renee Bagley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3725 Libby LN
Yuba City, CA 95993-9120

Phone

(530) 701-9213

NPI assigned

May 4, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1972248730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 KLAMATH LN STE 20D",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959938979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 LIBBY LN",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939120",
            "telephone_number": "530-701-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "DEIDRA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Medicine, Inc
• Stephanie Kristine Badame, ASW
• Herjot Kaur Badesha, PA-C
• Leena Badran
• Debra Lynn Bagley
• Laci Y Bahrou
• Amrita Bains, RD
• Harpreet Toor Bains, M.D.
• Kiarndeep Bains
• Maninder Paul S Bains, M.D.

• Behavior Technician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.