Individual provider · Type 1 NPI

Yvienne Yumol Wagoner

Behavior Technician · Meridian, ID

NPI number 1033054028 Active

Practice location

2959 S Meridian Rd
Meridian, ID 83642-7961

Call (478) 449-5378 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1033054028

Yvienne Yumol Wagoner's National Provider Identifier is 1033054028, issued on Apr 23, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Meridian, ID. The record was last updated on Apr 23, 2026.