Brendan Matthias Wagner, RBT

NPI #1003522749 in Virginia Beach, Virginia

Provider Information

NPI Number: 1003522749
Entity Type: Individual
Name: Brendan Matthias Wagner, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jan 26, 2023
Last Updated: Jan 26, 2023

Practice Location

Address: 293 INDEPENDENCE BLVD STE 400
City: Virginia Beach
State: Virginia
ZIP Code: 23462-5461
Phone: (757) 785-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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