Individual provider · Type 1 NPI

Jana Wagner, MS

Developmental Therapist · Wauconda, IL

NPI number 1104410455 Active

Practice location

811 Woodland Rd
Wauconda, IL 60084-1476

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1104410455

Jana Wagner, MS's National Provider Identifier is 1104410455, issued on Feb 26, 2021. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Wauconda, IL. The record was last updated on Feb 26, 2021.