Miranda M Wagner

NPI #1609415819 in Moore, Oklahoma

Provider Information

NPI Number: 1609415819
Entity Type: Individual
Name: Miranda M Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 6, 2020
Last Updated: Dec 31, 2025

Practice Location

Address: 146 SW 134TH ST
City: Moore
State: Oklahoma
ZIP Code: 73170-1488
Phone: (405) 265-9324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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