Benjamin Wagner

Behavior Technician · Lake Oswego, OR

Individual Active NPI

NPI number 1124726633

Practice location

412 Jefferson Pkwy Ste 202
Lake Oswego, OR 97035-1252
Phone
(888) 428-3223

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NPI record

NPI
1124726633
Entity type
Individual (Type 1)
Enumeration date
February 23, 2023
Last updated
February 23, 2023
Certified
February 23, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537
Phone
(888) 428-3223
Fax
(323) 866-1881

About Benjamin Wagner

Benjamin Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 412 Jefferson Pkwy Ste 202, Lake Oswego, OR 97035-1252. The NPI number 1124726633 was assigned on February 23, 2023 and the record was last updated on February 23, 2023.

Frequently asked questions

What is the NPI number of Benjamin Wagner?

The NPI number is 1124726633.

What is the phone number of Benjamin Wagner?

The phone number listed for the practice location is (888) 428-3223.

Where is Benjamin Wagner located?

412 Jefferson Pkwy Ste 202, Lake Oswego, OR 97035-1252.

What is the taxonomy code for Benjamin 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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