Brandy L. Wagner
Behavior Technician · O Fallon, IL
NPI number
1023668126
Practice location
634 N Main St Ste 4O Fallon, IL 62269-3746
- Phone
- (618) 726-5870
NPI record
- NPI
- 1023668126
- Entity type
- Individual (Type 1)
- Enumeration date
- September 19, 2019
- Last updated
- September 19, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
- Phone
- (818) 345-2345
About Brandy Wagner
Brandy L. Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 634 N Main St Ste 4, O Fallon, IL 62269-3746. The NPI number 1023668126 was assigned on September 19, 2019 and the record was last updated on September 19, 2019.
Frequently asked questions
What is the NPI number of Brandy L. Wagner?
The NPI number is 1023668126.
What is the phone number of Brandy Wagner?
The phone number listed for the practice location is (618) 726-5870.
Where is Brandy Wagner located?
634 N Main St Ste 4, O Fallon, IL 62269-3746.
What is the taxonomy code for Brandy Wagner?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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