Wagner, Jordan

Wagner, Jordan is an individual health care provider with primary practice located at 1015 Nw 56Th Ter , Gainesville FL 32605-4481. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Wagner, Jordan can be contacted via phone (352) 835-5520.

Contact Information

Primary practice address
1015 Nw 56Th Ter Gainesville FL 32605-4481
Phone: (352) 835-5520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1396491353
LBN Legal business name Wagner, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2022
Last updated Feb 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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