Individual
BRITTNEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13615 N 35TH AVE, PHOENIX, AZ 85029-1243
(855) 772-8847
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(855) 772-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000864
AZ
Other
Enumeration date
10/14/2015
Last updated
02/06/2025
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