Individual
ALLISON WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2357 HUGUENARD DR, LEXINGTON, KY 40503-3015
(859) 436-8585
Mailing address
2357 HUGUENARD DR, LEXINGTON, KY 40503-3015
(859) 436-8585
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
301090
KY
106S00000X
Behavior Technician
Primary
RBT-22-222284
OH
Other
Enumeration date
09/02/2022
Last updated
02/10/2026
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