| Wagner Autism Growth Llc | |
|
5010 Taney Ave Alexandria VA 22304-2012 | |
| (571) 213-2325 | |
| Not Available |
| Full Name | Wagner Autism Growth Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5010 Taney Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Megan Wagner (OWNER) |
| Authorized Official Contact | 5712132325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner Autism Growth Llc 5010 Taney Ave Alexandria VA 22304-2012 Ph: (571) 213-2325 | Wagner Autism Growth Llc 5010 Taney Ave Alexandria VA 22304-2012 Ph: (571) 213-2325 |
| NPI Number | 1881336105 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 04/07/2022 |
| Certification Date | 04/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881336105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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