NPI 1093466112

Kelly Elizabeth Wagner, BCBA

Practitioner Behavior Analyst Stirling, NJ

Practice location

Address: 1071 Valley Rd, Stirling, NJ 07980-1523
Phone: (908) 604-4500
Mailing address: 29 Cain CT, Bridgewater, NJ 08807-3702

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-21-53767

Other Behavior Analyst providers in New Jersey →

Registry record

NPI: 1093466112
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2022
Record last updated: 11 Jan 2022

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.