NPI 1013503481

Stacey Ketry Wagner

Practitioner Behavior Technician Chattanooga, TN

Practice location

Address: 2826 Amnicola Hwy, Chattanooga, TN 37406-3605
Phone: (423) 417-3273

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Tennessee →

Registry record

NPI: 1013503481
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Dec 2020
Record last updated: 18 Dec 2020

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.