Danielle Wagoner, MA, BCBA

NPI #1508396359 in Hermosa Beach, California

Provider Information

NPI Number: 1508396359
Entity Type: Individual
Name: Danielle Wagoner, MA, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MA, BCBA
Enumeration Date: Jun 14, 2017
Last Updated: Jun 17, 2019

Practice Location

Address: 2447 PACIFIC COAST HWY STE 111
City: Hermosa Beach
State: California
ZIP Code: 90254-2743
Phone: (310) 374-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Behavior Technician	106S00000X

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