Individual
SARA WAGNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
16530 AVONDALE RD NE, WOODINVILLE, WA 98077-9178
(608) 772-4294
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
(847) 498-5438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51854
—
106S00000X
Behavior Technician
RBT-18-68420
WI
Other
Enumeration date
10/22/2018
Last updated
06/09/2022
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