Individual provider · Type 1 NPI
Brianna Wagner
Developmental Therapist · Port St. Lucie, FL
Practice location
1084 SW Benchor Ave
Port St. Lucie, FL 34953-3424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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 1275125635
Brianna Wagner's National Provider Identifier is 1275125635, issued on Feb 8, 2021. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Feb 8, 2021.