BENJAMIN WAGNER

LAKE OSWEGO, OR
NPI1124726633
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-02-23
Last Update Date2023-02-23
Business Address
BENJAMIN WAGNER
412 JEFFERSON PKWY STE 202
LAKE OSWEGO, OR 97035-1252
Phone number: 888-428-3223
Mailing Address
BENJAMIN WAGNER
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223