James Carol Wagner

Behavior Technician · Dunlap, IL

Individual Active NPI

NPI number 1912597139

Practice location

111 Hickory St
Dunlap, IL 61525-9703
Phone
(309) 357-1973

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NPI record

NPI
1912597139
Entity type
Individual (Type 1)
Enumeration date
January 21, 2021
Last updated
January 22, 2021
Certified
January 22, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About James Wagner

James Carol Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 111 Hickory St, Dunlap, IL 61525-9703. The NPI number 1912597139 was assigned on January 21, 2021 and the record was last updated on January 22, 2021.

Frequently asked questions

What is the NPI number of James Carol Wagner?

The NPI number is 1912597139.

What is the phone number of James Wagner?

The phone number listed for the practice location is (309) 357-1973.

Where is James Wagner located?

111 Hickory St, Dunlap, IL 61525-9703.

What is the taxonomy code for James 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.