James Carol Wagner
James Carol Wagner is a Behavior Technician in Dunlap, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
111 Hickory StDunlap, IL 61525-9703
Phone: (309) 357-1973
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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 | 1912597139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2021 |
| Last updated in NPPES | January 22, 2021 |
| Certification date | January 22, 2021 |
| Mailing address | 111 Hickory St, Dunlap, IL 61525-9703 |