Jared A Hagerman
Behavior Technician in Stafford, VA. Individual provider (NPI-1).
NPI number1982253381
StatusActive
Last updated in NPPESSep 9, 2019
Details
- NPI
- 1982253381
- Entity type
- Individual (NPI-1)
- Name
- Jared A Hagerman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2019
- Last updated
- Sep 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | VA | Yes |
Practice location
35 Walpole St Ste 207Stafford, VA 22554-6546
Phone 540-383-7133 · Fax 540-246-0717
Mailing address
35 Walpole St Ste 207Stafford, VA 22554-6546
Phone 540-383-7133 · Fax 540-246-0717
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