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

Mary Bagot

Individual provider Behavior Technician · NPI 1508521642

Mary Bagot is a Behavior Technician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

501 W Broadway Ste 800
San Diego, CA 92101-3546
Phone: (877) 418-2978
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1508521642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2021
Last updated in NPPESSeptember 21, 2025
Certification dateSeptember 21, 2025

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