Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANISSA J WAGNER
Active Sole ProprietorJANISSA J WAGNER is a Assistant Behavior Analyst healthcare provider located in EDGAR SPRINGS, Missouri. NPI 1245025725 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · EDGAR SPRINGS, MO
Registration Details
- NPI Number
- 1245025725
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2025 (1.3153186012457 yrs)
- Last Updated
- Apr 14, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
17575 STATE ROUTE MEDGAR SPRINGS, MO, 654628303Browse MO providers · Browse ZIP 65462
- Phone
- 5735783830
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
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.