Amy M Wagner, ED.S., BCABA

NPI #1114183357 in Gibsonton, Florida

Provider Information

NPI Number: 1114183357
Entity Type: Individual
Name: Amy M Wagner, ED.S., BCABA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: ED.S., BCABA
Enumeration Date: Aug 6, 2008
Last Updated: Jul 15, 2010

Practice Location

Address: 9402 BULLFROG CT
City: Gibsonton
State: Florida
ZIP Code: 33534-5100
Phone: (813) 335-8296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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