Organization
WW BEHAVIOR CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINNA LEIGH WAGONER BCBA (OWNER)
(304) 692-1820
Entity
Organization
Contact information
Practice address
76 CHAMPAGNE DR, MORGANTOWN, WV 26508-5223
(304) 692-1820
Mailing address
76 CHAMPAGNE DR, MORGANTOWN, WV 26508-5223
(304) 692-1820
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10533
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO
NO
—
Enumeration date
06/27/2017
Last updated
07/21/2022
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