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Individual

BRIGETTE CHRISTINE WACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 S ST, SACRAMENTO, CA 95811-6952
(510) 613-0330
Mailing address
8725 LA RIVIERA DR APT 33, SACRAMENTO, CA 95826-1846
(916) 715-3467

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
175T00000X
Peer Specialist
Primary
MPSS-DPOQNX
CA

Other

Enumeration date
04/04/2023
Last updated
02/19/2026
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