Individual provider · Type 1 NPI

Madison Wagner, BCBA

Behavior Analyst · Grand Rapids, MI

NPI number 1316582182 Active

Practice location

600 3 Mile Road NW, Ste 200
Grand Rapids, MI 49544-1691

Call (855) 832-6727 Map

Mailing address

1188 Cobb Dr SE Apt 3B
Grand Rapids, MI 49508-7364

Specialties and licenses

TaxonomyCodeLicense
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 1316582182

Madison Wagner, BCBA's National Provider Identifier is 1316582182, issued on Nov 15, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 7, 2025.