DANIEL JACOB WAGNER

LOGAN, UT
NPI1164062741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: UT  14004096-2506)
Enumeration Date2020-01-10
Last Update Date2025-08-20
Business Address
DANIEL JACOB WAGNER BCBA
6405 OLD MAIN HILL
LOGAN, UT 84322-3511
Phone number: 435-797-3403
Mailing Address
DANIEL JACOB WAGNER BCBA
6405 OLD MAIN HILL
LOGAN, UT 84322-6405
Phone number: 818-462-1168
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