MRS. Tara Lee Wagner, BCBA
NPI #1518281609 in Perry Hall, Maryland
Provider Information
- NPI Number
- 1518281609
- Entity Type
- Individual
- Name
- MRS. Tara Lee Wagner, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Mar 18, 2010
- Last Updated
- Mar 18, 2010
Practice Location
- Address
- 5099 CAMEO TER
- City
- Perry Hall
- State
- Maryland
- ZIP Code
- 21128-8934
- Phone
- (410) 967-3439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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