Heather Wagner

NPI #1689426694 in Maple Valley, Washington

Provider Information

NPI Number: 1689426694
Entity Type: Individual
Name: Heather Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 3, 2024
Last Updated: Apr 3, 2024

Practice Location

Address: 22415 SE 213ST ST
Address 2: SUITE B103
City: Maple Valley
State: Washington
ZIP Code: 98038
Phone: (425) 906-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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