Carson Jewel Wagner

NPI #1518446996 in Reno, Nevada

Provider Information

NPI Number: 1518446996
Entity Type: Individual
Name: Carson Jewel Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 7, 2018
Last Updated: Aug 7, 2018

Practice Location

Address: 2995 SKYLINE BLVD STE 201D
City: Reno
State: Nevada
ZIP Code: 89509-5163
Phone: (818) 345-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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