Wagner, Miranda M

Wagner, Miranda M is an individual health care provider with primary practice located at 15809 Ne 23Rd St , Choctaw OK 73020-8428. 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, Miranda M can be contacted via phone (405) 281-1040.

Contact Information

Primary practice address
15809 Ne 23Rd St Choctaw OK 73020-8428
Phone: (405) 281-1040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 19109513 Oklahoma

Profile Details

NPI number 1609415819
LBN Legal business name Wagner, Miranda M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2020
Last updated Jul 17th, 2026 - about 3 months 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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