Kelsey Wagner, BT

NPI #1578272571 in Kingsford, Michigan

Provider Information

NPI Number: 1578272571
Entity Type: Individual
Name: Kelsey Wagner, BT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BT
Enumeration Date: Nov 17, 2022
Last Updated: Nov 17, 2022

Practice Location

Address: 1075 WOODWARD AVE LOWR LEVEL
City: Kingsford
State: Michigan
ZIP Code: 49802-4434
Phone: (906) 828-2088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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