Individual
KRISTINA S WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 MILL ST STE 213, RENO, NV 89502-2259
(775) 343-8589
Mailing address
6651 CHULA VISTA CT, SPARKS, NV 89436-9148
(775) 343-8589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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