Wagner, Maxine

Wagner, Maxine is an individual health care provider with primary practice located at 732 Beckman St , Dayton OH 45410-2165. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wagner, Maxine can be contacted via phone (937) 853-3328.

Contact Information

Primary practice address
732 Beckman St Dayton OH 45410-2165
Phone: (937) 853-3328
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 163681 Ohio

Profile Details

NPI number 1104317536
LBN Legal business name Wagner, Maxine
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2018
Last updated Jun 16th, 2018 - about 8 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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