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

SHANNON LEE WAGNER

Active

SHANNON LEE WAGNER is a Behavior Technician healthcare provider located in MANCHESTER, Connecticut. NPI 1225686538 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · MANCHESTER, CT

Registration Details

NPI Number
1225686538
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2019 (6.9548261174347 yrs)
Last Updated
Aug 29, 2019

Practice Information

Address
203 UNION ST
MANCHESTER, CT, 060421938
Browse CT providers · Browse ZIP 06042
Phone
8604553629
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in MANCHESTER, CT

Name Credential NPI
MAXIMILIAN CARLSON 1427797000
JALISA CHELSEA CAJIGAS 1205529088
ASHLEY CHRISTINE AYALA 1477324184
KYLAN SEVILLE 1225888720
JAZZMIN E SHEFF 1518716232
MIRANDA ANN TEDFORD 1336968155
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.