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1265973267
REGINNA L WAGONER
MORGANTOWN, WV
NPI
1265973267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: WV 1-12-10533)
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
-- REGINNA L WAGONER BCBA
76 CHAMPAGNE DR
MORGANTOWN, WV 26508-5223
Phone number: 304-692-1820
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Mailing Address
-- REGINNA L WAGONER BCBA
76 CHAMPAGNE DR
MORGANTOWN, WV 26508-5223
Phone number: 304-692-1820
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