Wagner, Theresa Renee

Wagner, Theresa Renee is an sole proprietor health care provider with primary practice located at 2711 Madison Oaks Ct , Charlotte NC 28226-7672. 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, Theresa Renee can be contacted via phone (704) 839-6252.

Contact Information

Primary practice address
2711 Madison Oaks Ct Charlotte NC 28226-7672
Phone: (704) 839-6252
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1659685378
LBN Legal business name Wagner, Theresa Renee
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2010
Last updated Aug 5th, 2010 - about 15 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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