Individual
LAUREN ELIZABETH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBS
Contact information
Practice address
3424 WILLIAM PENN HWY STE 215, PITTSBURGH, PA 15235-5444
(440) 242-9182
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
(440) 242-9182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006342
PA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
03/21/2018
Last updated
08/09/2023
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