DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ASHLEY NICOLE WAGNER BCBA

MEDICARE:   ASHLEY NICOLE WAGNER  BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-23-64329IN

General Provider Information

NPI Number : 1649951286
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE WAGNER BCBA
Provider Business Mailing Address
First Line : 5927 RIVA RIDGE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-2116
Country : US
Telephone Number : 317-519-8730
Fax Number :
Provider Business Practice Location Address
First Line : 5915 S EMERSON AVE STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-1972
Country : US
Telephone Number : 317-567-9307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 07/27/2023

Similar Medicare Providers

1801754692 — MONICA MARIE NORTON
Practice Location Address:
5915 S EMERSON AVE STE 100
INDIANAPOLIS, IN
46237-1972
Practice Phone: 317-567-9307
Practice Fax:
1306703905 — TAMARA MASON
Practice Location Address:
5915 S EMERSON AVE STE 100
INDIANAPOLIS, IN
46237-1972
Practice Phone: 317-567-9307
Practice Fax:
1992662480 — YAHIMA SANCHEZ
Practice Location Address:
5915 S EMERSON AVE STE 100
INDIANAPOLIS, IN
46237-1972
Practice Phone: 317-567-9307
Practice Fax:
1962369181 — CORBEN HAVENER
Practice Location Address:
5915 S EMERSON AVE STE 100
INDIANAPOLIS, IN
46237-1972
Practice Phone: 317-567-9307
Practice Fax:
1255980363 — CARINA GUZMAN MA
Practice Location Address:
5915 S EMERSON AVE STE 100
INDIANAPOLIS, IN
46237-1972
Practice Phone: 317-993-6243
Practice Fax:
1053951137 — RESTORATION FAMILY CHIROPRACTIC
Practice Location Address:
5915 S EMERSON AVE STE 400
INDIANAPOLIS, IN
46237-1972
Practice Phone: 812-200-6204
Practice Fax:

Directions to “ ASHLEY NICOLE WAGNER BCBA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.