Individual provider · Type 1 NPI

Miranda M. Wagner

Behavior Analyst · Choctaw, OK

NPI number 1609415819 Active

Practice location

15809 NE 23rd St
Choctaw, OK 73020-8428

Call (405) 281-1040 Map

Mailing address

3903 N Harrison St
Shawnee, OK 74804-1426

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X19109513 (OK)

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 1609415819

Miranda M. Wagner's National Provider Identifier is 1609415819, issued on Jan 6, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Choctaw, OK. The record was last updated on Jul 17, 2026.