Organization
ALLIANCE ABA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINNA WAGONER BCBA (OWNER)
(304) 404-4059
Entity
Organization
Contact information
Practice address
127 LAKESIDE DR, MORGANTOWN, WV 26508-5625
(304) 404-4059
Mailing address
127 LAKESIDE DR, MORGANTOWN, WV 26508-5625
(304) 404-4059
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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