BRENNA LYN WAGNER

TOOELE, UT
NPI1043795040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies106E00000X Assistant Behavior Analyst
(Licence: UT  11353635-2507)
106S00000X Behavior Technician
Enumeration Date2018-09-26
Last Update Date2022-11-28
Business Address
Mrs. BRENNA LYN WAGNER Msc, BCBA, LBA
88 E 1000 N
TOOELE, UT 84074-9693
Phone number: 435-249-0934
Mailing Address
Mrs. BRENNA LYN WAGNER Msc, BCBA, LBA
1311 COUNTRY LN
ERDA, UT 84074-9799
Phone number: 435-840-8166