Organization
WAGGONER BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCKELLE WAGGONER BCBA (OWNER)
(224) 410-1239
Entity
Organization
Contact information
Practice address
489 TANGLEWOOD DR, GURNEE, IL 60031-3431
(224) 410-1239
Mailing address
489 TANGLEWOOD DR, GURNEE, IL 60031-3431
(224) 410-1239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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