Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KASSIDY DIANE WAGNER, BCBA
ActiveBehavior Analyst · EAGLE, ID
Registration Details
- NPI Number
- 1376197723
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2019 (6.7437791537796 yrs)
- Last Updated
- Dec 21, 2023
- License
-
1-23-68300 (ID)
Practice Information
- Address
-
449 S FITNESS PLEAGLE, ID, 836166828Browse ID providers · Browse ZIP 83616
- Phone
- 2089576301
- Fax
- 2082280585
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| LEAH RUTLEDGE | BCBA | 1437445939 |
| MR. ROBBIE EL FATTAL | BCBA-D, LBA | 1508118126 |
| JAMIE ACHENBACH | — | 1760845770 |
| SHELBI MORRISON | M.ED, BCBA | 1568015683 |
| RICHELLE VINCENT | — | 1477229896 |
| CAROLINE YOUNG | — | 1194488643 |
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.