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NPI Code Detail

MEDICARE: BAILEY KNAGGS

MEDICARE:   BAILEY  KNAGGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1265114276
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY KNAGGS
Provider Business Mailing Address
First Line : 2202 THOMAS DR APT 2406
Second Line :
City : PANAMA CITY
State : FL
Zip : 32408-5893
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4750 COLLEGIATE DR
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-1000
Country : US
Telephone Number : 850-770-2241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 03/27/2026

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Directions to “ BAILEY KNAGGS ” Practice Location

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