NPI 1003603861

Tamia Wagstaff

Practitioner Behavior Technician Fort Wayne, IN

Practice location

Address: 4422 E State Blvd, Fort Wayne, IN 46815-6917
Phone: (260) 471-9263
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Indiana →

Registry record

NPI: 1003603861
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2025
Record last updated: 23 Apr 2025

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.