Wagner, Amy R
Wagner, Amy R is an sole proprietor health care provider with primary practice located at 6505 Shiloh Rd Suite 100, Alpharetta GA 30005-8405. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wagner, Amy R can be contacted via phone (678) 648-7644.Contact Information
Primary practice address
6505 Shiloh Rd Suite 100
Alpharetta GA 30005-8405
Phone: (678) 648-7644
Fax: (678) 648-7479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | CSW004454 | Georgia |
Profile Details
| NPI number | 1346632312 |
|---|---|
| LBN Legal business name | Wagner, Amy R |
| Credentials | ED.D., LCSW, BCABA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2015 |
| Last updated | Feb 26th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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