NPI 1245025725

Janissa J Wagner

Practitioner Assistant Behavior Analyst Edgar Springs, MO

Practice location

Address: 17575 State Route M, Edgar Springs, MO 65462-8303
Phone: (573) 578-3830

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1245025725
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2025
Record last updated: 14 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.