Individual
MONICA WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8019 NE 13TH AVE, VANCOUVER, WA 98665-9604
(360) 713-2455
Mailing address
8019 NE 13TH AVE, VANCOUVER, WA 98665-9604
(360) 713-2455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49216
—
106S00000X
Behavior Technician
—
WA
Other
Enumeration date
04/28/2017
Last updated
04/19/2021
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