Wagner, Brenna Lyn

Wagner, Brenna Lyn is an sole proprietor health care provider with primary practice located at 88 E 1000 N , Tooele UT 84074-9693. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Wagner, Brenna Lyn can be contacted via phone (435) 249-0934.

Contact Information

Primary practice address
88 E 1000 N Tooele UT 84074-9693
Phone: (435) 249-0934
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 11353635-2507 Utah
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1043795040
LBN Legal business name Wagner, Brenna Lyn
Credentials MSC, BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2018
Last updated Nov 28th, 2022 - about 4 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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