Kourtney Waganer

NPI #1609686450 in Moore, Oklahoma

Provider Information

NPI Number: 1609686450
Entity Type: Individual
Name: Kourtney Waganer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 13, 2025
Last Updated: Jan 13, 2025

Practice Location

Address: 1211 MAGNOLIA CT
City: Moore
State: Oklahoma
ZIP Code: 73160-1397
Phone: (405) 237-3515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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