Ashley Wagner
NPI #1174168819 in Tarzana, California
Provider Information
- NPI Number
- 1174168819
- Entity Type
- Individual
- Name
- Ashley Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 15, 2019
- Last Updated
- Nov 15, 2019
Practice Location
- Address
- 5530 CORBIN AVE STE 221
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-6095
- Phone
- (818) 600-8758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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