Shado Madison Wagner
Shado Madison Wagner is a Behavior Analyst in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2021.
- Licensed in
- WA
- In the registry since
- 2021
Practice location Address checks out
9901 NE 7th Ave # 116Vancouver, WA 98685-4523
Phone: (360) 571-2432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X (WA) |
|---|
Record details
| NPI number | 1548854508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 21, 2021 |
| Last updated in NPPES | February 21, 2021 |
| Certification date | February 21, 2021 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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