Individual provider · Type 1 NPI

Lincoln Edward Wagner, MA, BCBA, LBA

Behavior Analyst · Sandy, UT

NPI number 1174224844 Active

Practice location

11731 S Canberra Dr
Sandy, UT 84094-5694

Fax (801) 758-3633

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	14279645-2506 (UT)

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 1174224844

Lincoln Edward Wagner, MA, BCBA, LBA's National Provider Identifier is 1174224844, issued on Mar 10, 2023. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Sandy, UT. The record was last updated on Apr 14, 2026.