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

Fallon Wagoner

Individual provider Behavior Analyst · NPI 1184190951

Fallon Wagoner is a Behavior Analyst in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2301 Crownpoint Executive Dr Ste E
Charlotte, NC 28227-6725
Phone: (704) 708-8314
Fax: (704) 708-8315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-49158 (NC)
Behavior Technician Taxonomy 106S00000X · Licence RBT-18-68239 (NC)

Record details

NPI number1184190951
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2018
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

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