Kelli Wegner

NPI #1891306023 in Ladson, South Carolina

Provider Information

NPI Number: 1891306023
Entity Type: Individual
Name: Kelli Wegner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 12, 2020
Last Updated: Aug 12, 2020

Practice Location

Address: 3305 ASHLAR PT APT 304
City: Ladson
State: South Carolina
ZIP Code: 29456-4277
Phone: (518) 522-4296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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