Individual
ERIC WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2818 N RALPH AVE, TUCSON, AZ 85712-1635
(615) 479-5336
(520) 413-2119
Mailing address
2818 N RALPH AVE, TUCSON, AZ 85712-1635
(615) 479-5336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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