Tamia Wagstaff

NPI #1003603861 in Fort Wayne, Indiana

Provider Information

NPI Number: 1003603861
Entity Type: Individual
Name: Tamia Wagstaff
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 23, 2025
Last Updated: Apr 23, 2025

Practice Location

Address: 4422 E STATE BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46815-6917
Phone: (260) 471-9263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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