Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candice Brooke Wagner

Individual provider Behavior Technician · NPI 1063029908

Candice Brooke Wagner is a Behavior Technician in Wilmington, North Carolina. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

705 S Kerr Ave
Wilmington, NC 28403-8425
Phone: (910) 782-3499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1063029908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

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