Individual
MICHAELA M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1 RATHTON RD, YORK, PA 17403-3717
(717) 885-5906
(717) 600-8179
Mailing address
1 RATHTON RD, YORK, PA 17403-3717
(717) 885-5906
(717) 600-8179
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-171207
PA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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