Kimberly L Wagner, RBT

NPI #1144817842 in Defuniak Springs, Florida

Provider Information

NPI Number
1144817842
Entity Type
Individual
Name
Kimberly L Wagner, RBT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
RBT
Enumeration Date
Dec 29, 2020
Last Updated
Dec 29, 2020

Practice Location

Address
40 STATE HIGHWAY 83
State
Florida
ZIP Code
32433-7404
Phone
(850) 585-9189

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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