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

Jean Wagner

Individual provider Developmental Therapist · NPI 1982483699

Jean Wagner is a Developmental Therapist in Encino, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

16500 Ventura Blvd Ste 414
Encino, CA 91436-5050
Phone: (818) 788-1003
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Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1982483699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing address16500 Ventura Blvd Ste 414, Encino, CA 91436-5050

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