Wagoner, Danielle

Wagoner, Danielle is an individual health care provider with primary practice located at 2447 Pacific Coast Hwy Ste 111 , Hermosa Beach CA 90254-2743. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Wagoner, Danielle can be contacted via phone (310) 374-3300.

Contact Information

Primary practice address
2447 Pacific Coast Hwy Ste 111 Hermosa Beach CA 90254-2743
Phone: (310) 374-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-36951 California
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 903211628 California

Profile Details

NPI number 1508396359
LBN Legal business name Wagoner, Danielle
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jun 17th, 2019 - about 7 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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