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1407101843
MICHELLE WAGNER
SACRAMENTO, CA
NPI
1407101843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1095246)
Enumeration Date
2012-07-23
Last Update Date
2019-10-08
Business Address
MICHELLE WAGNER B.C.B.A
9755 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3334
Phone number: 916-363-6103
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Mailing Address
MICHELLE WAGNER B.C.B.A
9755 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3334
Phone number: 916-363-6103
Copy
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