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Individual

COURTNEY WAGGONER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
502 S 7TH ST, HIAWATHA, KS 66434-2518
(785) 741-4509
Mailing address
1649 61 STREET, ST 301, 3RD FL,, BROOKLYN, NY 11204-3319

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
05/08/2025
Last updated
05/08/2025
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