NPI 1003522749

Brendan Matthias Wagner, RBT

Practitioner Behavior Technician Virginia Beach, VA

Practice location

Address: 293 Independence Blvd STE 400, Virginia Beach, VA 23462-5461
Phone: (757) 785-3338

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-253124 (VA)

Other Behavior Technician providers in Virginia →

Registry record

NPI: 1003522749
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2023
Record last updated: 26 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.