Provider Demographics
NPI:1972483576
Name:BAGUNU, ANNALIZA
Entity type:Individual
Prefix:
First Name:ANNALIZA
Middle Name:
Last Name:BAGUNU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SCARLETT
Other - Middle Name:
Other - Last Name:BAGUNU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13938 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-2636
Mailing Address - Country:US
Mailing Address - Phone:816-807-2447
Mailing Address - Fax:
Practice Address - Street 1:13938 E 51ST ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64133-2636
Practice Address - Country:US
Practice Address - Phone:816-807-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician