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

MRS. CHEYENNE LARK WAGNER

Active

MRS. CHEYENNE LARK WAGNER is a Behavior Analyst healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1588342422 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · MYRTLE BEACH, SC

Registration Details

NPI Number
1588342422
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2023 (3.1161680661271 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
1229 38TH AVE N # 391
MYRTLE BEACH, SC, 295771313
Browse SC providers · Browse ZIP 29577
Phone
8558326727
Fax
1772675910
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Technician

Other Behavior Analyst Providers in MYRTLE BEACH, SC

Name Credential NPI
MRS. KERRI E. FLYNN MA, BCBA 1033352844
RACHEL DELGADO MSED, BCBA, LBA 1235403486
KELLY RYPKOWSKI M.S., BCBA 1609297795
BRANDON EASON 1932506953
CHELSEA MARIE WAITE 1417335316
MELISSA FARAH M.A., BCBA 1841737178
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.