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

Thalia Wagoner

Individual provider Behavior Technician · NPI 1821689829

Thalia Wagoner is a Behavior Technician in San Leandro, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

477 Callan Ave # 101
San Leandro, CA 94577-4607
Phone: (000) 000-0000
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 number1821689829
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 1, 2021
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

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