Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Patricia M Bagg, CCC-SLP, BCBA, LBA

Individual provider Behavior Analyst · NPI 1871030817

Patricia M Bagg, CCC-SLP, BCBA, LBA is a Behavior Analyst in Reston, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
Specialties on file
3
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

11736 Sunrise Valley Dr
Reston, VA 20191-1444
Phone: (908) 216-2593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 0133000547 (VA)
Behavior Analyst Taxonomy 103K00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2202007683 (VA)

Record details

NPI number1871030817
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP , BCBA , LBA
Sole proprietorYes
NPI enumeratedJanuary 29, 2017
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

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