Justice Ivy Hagg
Justice Ivy Hagg is a Behavior Technician in Lake Cormorant, Mississippi. Licensed in Tennessee. Registered with an NPI since 2023.
- Licensed in
- TN
- In the registry since
- 2023
Practice location Address checks out
1070 Wilson RdgLake Cormorant, MS 38641-9486
Phone: (901) 463-8873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (TN) |
|---|
Record details
| NPI number | 1740980655 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 8, 2023 |
| Last updated in NPPES | March 8, 2023 |
| Certification date | March 8, 2023 |
| Mailing address | 1070 Wilson Rdg, Lake Cormorant, MS 38641-9486 |