Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN WAGNER
Active Sole ProprietorJORDAN WAGNER is a Behavior Technician healthcare provider located in LA SALLE, Colorado. NPI 1982495479 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · LA SALLE, CO
Registration Details
- NPI Number
- 1982495479
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2025 (1.2550730591825 yrs)
- Last Updated
- May 14, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 N 3RD STLA SALLE, CO, 806453200Browse CO providers · Browse ZIP 80645
- Phone
- 9704156592
- Primary Specialty
-
Behavior Technician
106S00000X
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.