Individual
MRS. RACHEL DANIELLE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
2405 28TH ST, ANACORTES, WA 98221-2484
(360) 499-3508
Mailing address
2405 28TH ST, ANACORTES, WA 98221-2484
(360) 499-3508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7191
FL
103K00000X
Behavior Analyst
1-14-16520
CA
Other
Enumeration date
07/14/2010
Last updated
10/25/2017
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