Wagner, Amy L.

Wagner, Amy L. is an individual health care provider with primary practice located at 1128 Beville Road, Suite A , Daytona Beach FL 32114. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wagner, Amy L. can be contacted via phone (386) 267-3161.

Contact Information

Primary practice address
1128 Beville Road, Suite A Daytona Beach FL 32114
Phone: (386) 267-3161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1649695628
LBN Legal business name Wagner, Amy L.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2014
Last updated Feb 27th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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