Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRENNA LYN WAGNER, MSC, BCBA, LBA
Active Sole ProprietorMRS. BRENNA LYN WAGNER, MSC, BCBA, LBA is a Behavior Analyst healthcare provider located in TOOELE, Utah. NPI 1043795040 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · TOOELE, UT
Registration Details
- NPI Number
- 1043795040
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2018 (7.84144030227 yrs)
- Last Updated
- Nov 28, 2022
- License
-
11353635-2507 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
88 E 1000 NTOOELE, UT, 840749693Browse UT providers · Browse ZIP 84074
- Phone
- 4352490934
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Technician
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in TOOELE, UT
| Name | Credential | NPI |
|---|---|---|
| JENNILYN HITESMAN | M.ED, BCBA | 1417297607 |
| MRS. STEPHANIE THOMAS | BCBA | 1427419027 |
| RICHARD JOSE ROBLES | BCBA, LBA | 1104361310 |
| DAWSON JAY RUEGGER | — | 1578165973 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.