DANIEL JACOB WAGNER

SHERMAN OAKS, CA
NPI1164062741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence:   1-19-39963)
Enumeration Date2020-01-10
Last Update Date2020-01-10
Business Address
DANIEL JACOB WAGNER BCBA
14724 VENTURA BLVD STE 1110
SHERMAN OAKS, CA 91403-3511
Phone number: 818-501-4240
Mailing Address
DANIEL JACOB WAGNER BCBA
18115 ANDREA CIR N UNIT 1
NORTHRIDGE, CA 91325-1111
Phone number: 818-462-1168
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