Individual
ASHLEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5885 LANDERBROOK DR STE 310, MAYFIELD HEIGHTS, OH 44124-4031
(216) 446-2944
(315) 306-3610
Mailing address
5885 LANDERBROOK DR STE 310, MAYFIELD HEIGHTS, OH 44124-4031
(216) 446-2944
(315) 306-3610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01197
OH
106S00000X
Behavior Technician
19-105958
OH
Other
Enumeration date
03/05/2020
Last updated
06/21/2023
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