IndividualActive
Allie Wagoner
NPI 1811712904 · Behavior Technician · Paducah, KY
Provider details
- NPI number
- 1811712904
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6201 Benton Rd
Paducah, KY 42003-1304
Phone: (270) 908-0461
Approximate (ZIP-level) locationGet directions
Mailing address
6201 Benton Rd
Paducah, KY 42003-1304
Registry dates
- Enumerated
- 2024-11-22
- Last updated
- 2024-11-22
- Certified
- 2024-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.