Jackson Lee Wagus
Jackson Lee Wagus is a Behavior Technician in Sandy Spring, Maryland. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
17810 Meeting House Rd Ste 100Sandy Spring, MD 20860-1039
Phone: (240) 342-2666
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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 | 1639753452 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 7, 2021 |
| Last updated in NPPES | May 7, 2021 |
| Certification date | May 7, 2021 |
| Mailing address | 17810 Meeting House Rd Ste 100, Sandy Spring, MD 20860-1039 |
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