Stacey Ketry Wagner
Stacey Ketry Wagner is a Behavior Technician in Chattanooga, Tennessee. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2826 Amnicola HwyChattanooga, TN 37406-3605
Phone: (423) 417-3273
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1013503481 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 18, 2020 |
| Last updated in NPPES | December 18, 2020 |
| Certification date | December 18, 2020 |
| Mailing address | 2826 Amnicola Hwy, Chattanooga, TN 37406-3605 |
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