IndividualActive
Cassondra Wagner
NPI 1477264737 · Behavior Technician · Soldotna, AK
Cassondra Wagner is a Behavior Technician provider in Soldotna, AK (NPI 1477264737).
Provider details
- NPI number
- 1477264737
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 22-245484 (AK)
Practice location
43636 Kalifornsky Beach Rd
Soldotna, AK 99669-8264
Phone: (907) 931-5548
Street-level locationGet directions
Mailing address
Po Box 771324
Eagle River, AK 99577-1324
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.