Individual
SCOTT WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 S D ST, ARKANSAS CITY, KS 67005-2739
(210) 792-9998
Mailing address
420 S D ST, ARKANSAS CITY, KS 67005-2739
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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