Timothy Ray Waggoner II

NPI #1922762202 in Westchase, Florida

Provider Information

NPI Number
1922762202
Entity Type
Individual
Name
Timothy Ray Waggoner II
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 24, 2021
Last Updated
Oct 24, 2021

Practice Location

Address
12725 RACE TRACK RD BLDG 5
State
Florida
ZIP Code
33626-1314
Phone
(813) 422-6431

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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