Wagner, Stacey Ketry

Wagner, Stacey Ketry is an individual health care provider with primary practice located at 2826 Amnicola Hwy , Chattanooga TN 37406-3605. 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, Stacey Ketry can be contacted via phone (423) 417-3273.

Contact Information

Primary practice address
2826 Amnicola Hwy Chattanooga TN 37406-3605
Phone: (423) 417-3273
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1013503481
LBN Legal business name Wagner, Stacey Ketry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2020
Last updated Dec 18th, 2020 - about 6 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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