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Organization
WAGNER AUTISM GROWTH LLC
Active
Organization
WAGNER AUTISM GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN WAGNER BCBA, LBA (OWNER)
(571) 213-2325
Entity
Organization
Contact information
Practice address
5010 TANEY AVE, ALEXANDRIA, VA 22304-2012
(571) 213-2325
Mailing address
5010 TANEY AVE, ALEXANDRIA, VA 22304-2012
(571) 213-2325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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