Individual
ALANA COLEEN WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 1975 MCDOWELL ROAD, NAPERVILLE, IL 60563
(331) 229-8839
Mailing address
101 1975 MCDOWELL ROAD, NAPERVILLE, IL 60563
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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