Michelle Whitney Wagner, BCBA

NPI #1114658093 in Johns Island, South Carolina

Provider Information

NPI Number: 1114658093
Entity Type: Individual
Name: Michelle Whitney Wagner, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jun 21, 2022
Last Updated: Jun 21, 2022

Practice Location

Address: 1699 JESSY ELIZABETH RD
City: Johns Island
State: South Carolina
ZIP Code: 29455-8752
Phone: (606) 627-2705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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