Brandy L Wagner
Brandy L Wagner is a Behavior Technician in O Fallon, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
634 N Main St Ste 4O Fallon, IL 62269-3746
Phone: (618) 726-5870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1023668126 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 19, 2019 |
| Last updated in NPPES | September 19, 2019 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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