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

Kendyl June Wagner

Individual provider Behavior Technician · NPI 1831789866

Kendyl June Wagner is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1256 Walker Ave NW
Grand Rapids, MI 49504-4067
Phone: (231) 286-7423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1831789866
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2021
Last updated in NPPESJanuary 23, 2021
Certification dateJanuary 23, 2021
Mailing address1256 Walker Ave Nw, Grand Rapids, MI 49504-4067

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