Hogan Wagner, BA

NPI #1073887626 in Thousand Oaks, California

Provider Information

NPI Number: 1073887626
Entity Type: Individual
Name: Hogan Wagner, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BA
Enumeration Date: Feb 29, 2012
Last Updated: Jul 7, 2015

Practice Location

Address: 299 W HILLCREST DR STE 110
City: Thousand Oaks
State: California
ZIP Code: 91360-7824
Phone: (805) 379-1401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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