Jackson Lee Wagus

Behavior Technician · Sandy Spring, MD

Individual Active NPI

NPI number 1639753452

Practice location

17810 Meeting House Rd Ste 100
Sandy Spring, MD 20860-1039
Phone
(240) 342-2666

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NPI record

NPI
1639753452
Entity type
Individual (Type 1)
Enumeration date
May 7, 2021
Last updated
May 7, 2021
Certified
May 7, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Jackson Wagus

Jackson Lee Wagus is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 17810 Meeting House Rd Ste 100, Sandy Spring, MD 20860-1039. The NPI number 1639753452 was assigned on May 7, 2021 and the record was last updated on May 7, 2021.

Frequently asked questions

What is the NPI number of Jackson Lee Wagus?

The NPI number is 1639753452.

What is the phone number of Jackson Wagus?

The phone number listed for the practice location is (240) 342-2666.

Where is Jackson Wagus located?

17810 Meeting House Rd Ste 100, Sandy Spring, MD 20860-1039.

What is the taxonomy code for Jackson Wagus?

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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