Individual provider · Type 1 NPI

Brenna Lyn Wagner, MSC, BCBA, LBA

Behavior Analyst · Tooele, UT

NPI number 1043795040 Active

Practice location

88 E 1000 N
Tooele, UT 84074-9693

Mailing address

1311 Country Ln
Erda, UT 84074-9799

Other practice locations

  • 515 S 700 E Ste 2A, Salt Lake City, UT 84102-2855 · (801) 935-4171
  • 1311 Country Ln, Erda, UT 84074-9799 · (435) 840-8166
  • 1363 Country Ln, Erda, UT 84074-9799 · (435) 840-8166

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst 106E00000X11353635-2507 (UT)
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1043795040

Brenna Lyn Wagner, MSC, BCBA, LBA's National Provider Identifier is 1043795040, issued on Sep 26, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Tooele, UT. The record was last updated on Nov 28, 2022.