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NPI Code Detail

MEDICARE: JENNY YI-CHING BAGGETT

MEDICARE: JENNY YI-CHING BAGGETT
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 AnalystTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417206905
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY YI-CHING BAGGETT
Provider Business Mailing Address
First Line : 100 CONGRESS AVE STE 2000
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2745
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 100 CONGRESS AVE STE 2000
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2745
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2012
Last Update Date : 07/29/2019

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Directions to “ JENNY YI-CHING BAGGETT ” Practice Location

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