Amy R Wagner, ED.D., LCSW, BCABA

NPI #1346632312 in Alpharetta, Georgia

Provider Information

NPI Number
1346632312
Entity Type
Individual
Name
Amy R Wagner, ED.D., LCSW, BCABA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Analyst
Credential
ED.D., LCSW, BCABA
Enumeration Date
Feb 26, 2015
Last Updated
Feb 26, 2015

Practice Location

Address
6505 SHILOH RD
Address 2
SUITE 100
State
Georgia
ZIP Code
30005-8405
Phone
(678) 648-7644

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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