Wagner, Tara

Wagner, Tara is an sole proprietor health care provider with primary practice located at 6318 Richmond Ave Unit 4201 , Dallas TX 75214-3692. 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, Tara can be contacted via phone (903) 312-8397.

Contact Information

Primary practice address
6318 Richmond Ave Unit 4201 Dallas TX 75214-3692
Phone: (903) 312-8397
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11518882 Texas

Profile Details

NPI number 1487037404
LBN Legal business name Wagner, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2015
Last updated May 3rd, 2021 - about 5 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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