MIRANDA WAGNER
Behavior Analyst
Active
Individual
NPI: 1609415819
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes | 19109513 (OK) |
Frequently Asked Questions
NPI 1609415819 is the National Provider Identifier for MIRANDA WAGNER, a Behavior Analyst provider located in Moore, OK. This NPI was enumerated on January 6, 2020.
MIRANDA WAGNER practices at 146 SW 134TH ST, Moore, OK 73170.
Quick Facts
- NPI
- 1609415819
- Type
- Individual
- Enumerated
- Jan 6, 2020
- Last Updated
- Dec 31, 2025
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