CHEYENNE LARK WAGNER

MYRTLE BEACH, SC
NPI1588342422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-07-10
Last Update Date2025-09-11
Business Address
Mrs. CHEYENNE LARK WAGNER
1229 38TH AVE N # 391
MYRTLE BEACH, SC 29577-1313
Phone number: 855-832-6727
Mailing Address
Mrs. CHEYENNE LARK WAGNER
475 IREES WAY
LONGS, SC 29568-7232
Phone number:
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