Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gavin Wayne Bagley

Individual provider Behavior Technician · NPI 1629874219

Gavin Wayne Bagley is a Behavior Technician in Concord, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1855 2nd St Ste B
Concord, CA 94519-2623
Phone: (855) 223-7123
Fax: (619) 374-7134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629874219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing addressPo Box 740780, Atlanta, GA 30374-0780

Other providers in Concord