Jordan Wagner
Jordan Wagner is a Behavior Technician in LA Salle, Colorado. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
112 N 3rd StLA Salle, CO 80645-3200
Phone: (970) 415-6592
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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 | 1982495479 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2025 |
| Last updated in NPPES | May 14, 2025 |
| Certification date | May 14, 2025 |
| Mailing address | 112 N 3rd St, La Salle, CO 80645-3200 |