Individual
BRITTANY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 E WASHINGTON ST STE 300, PHOENIX, AZ 85034-1908
(800) 991-6070
Mailing address
945 N CENTRAL AVE, WOODMERE, NY 11598-1604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64206
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/25/2017
Last updated
03/23/2023
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