Danielle Wagoner, MA, BCBA Valid NPI

Individual provider · Behavior Analyst · Hermosa Beach, CA

NPI

1508396359

Type

Individual (Type 1)

Primary specialty

Behavior Analyst

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103K00000X

License number

1-19-36951 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2017-06-14

Last updated

2019-06-17