Kileigh Wagener

NPI #1013808336 in Forest Lake, Minnesota

Provider Information

NPI Number: 1013808336
Entity Type: Individual
Name: Kileigh Wagener
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 14, 2025
Last Updated: Jul 14, 2025

Practice Location

Address: 467 W BROADWAY AVE
City: Forest Lake
State: Minnesota
ZIP Code: 55025-1402
Phone: (952) 208-1577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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