Mrs. Cheyenne Lark Wagner
Mrs. Cheyenne Lark Wagner is a Behavior Analyst in Myrtle Beach, South Carolina. Works from 2 locations. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1229 38th Ave N # 391Myrtle Beach, SC 29577-1313
Phone: (855) 832-6727
Fax: (177) 267-5910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 475 Irees Way, Longs, SC 29568-7232 — (717) 916-3170
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1588342422 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 10, 2023 |
| Last updated in NPPES | September 11, 2025 |
| Certification date | September 11, 2025 |
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