Healthcare Provider Details

I. General information

NPI: 1417421249
Provider Name (Legal Business Name): LYNDSAY HAGEN BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 COMMERCE WAY
BARRINGTON NH
03825-3545
US

IV. Provider business mailing address

41 COMMERCE WAY
BARRINGTON NH
03825-3545
US

V. Phone/Fax

Practice location:
  • Phone: 603-475-7408
  • Fax:
Mailing address:
  • Phone: 603-475-7408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89820
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: