Most Relevant Information
Provider Data
| NPI Number: | 1003387747 |
| Provider Name: | ABIGAIL ELIZABETH WAGLE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/06/2018 |
| Last Updated: | 12/06/2018 |
Provider Practice Location
6394 COLLEGE BLVD
OVERLAND PARK
KS
662111506
Practice Location Phone/Fax
| Phone: | 1800345044 |
| Fax: |
Provider Mailing Location
6394 COLLEGE BLVD
OVERLAND PARK
KS
662111506
Provider Mailing Phone/Fax
| Phone: | 1800345044 |
| Fax: |