Wagner, Michelle Whitney
Wagner, Michelle Whitney is an sole proprietor health care provider with primary practice located at 1699 Jessy Elizabeth Rd , Johns Island SC 29455-8752. 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, Michelle Whitney can be contacted via phone (606) 627-2705.Contact Information
Primary practice address
1699 Jessy Elizabeth Rd
Johns Island SC 29455-8752
Phone: (606) 627-2705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1114658093 |
|---|---|
| LBN Legal business name | Wagner, Michelle Whitney |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2022 |
| Last updated | Jun 21st, 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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