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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FALLON WAGONER

Active

FALLON WAGONER is a Behavior Analyst healthcare provider located in CHARLOTTE, North Carolina. NPI 1184190951 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · CHARLOTTE, NC

Registration Details

NPI Number
1184190951
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2018 (7.8175734373545 yrs)
Last Updated
Mar 29, 2024
Licenses
1-21-49158 (NC)
RBT-18-68239 (NC)

Practice Information

Address
2301 CROWNPOINT EXECUTIVE DR STE E
CHARLOTTE, NC, 282276725
Browse NC providers · Browse ZIP 28227
Phone
7047088314
Fax
7047088315
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Technician

Other Behavior Analyst Providers in CHARLOTTE, NC

Name Credential NPI
JERRI LATASHA GALLAHAR 1043397748
RACHEL CHANCY SHUE 1023287240
MR. THADIUS LEONARD BONAPART III 1447490735
KEONNA MCDOUGALD MAT 1194950014
MS. ALYSON G. SHAFFER M.ED., BCBA 1598090607
MS. TAMMATHY BURRIS SADLER 1144555848
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.