Individual provider · Type 1 NPI

Breanna Louise Wagner

Behavior Technician · Hermantown, MN

NPI number 1649935883 Active

Practice location

4140 Richard Ave Ste 200
Hermantown, MN 55811-3309

Mailing address

618 Cumming Ave
Superior, WI 54880-1150

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 1649935883

Breanna Louise Wagner's National Provider Identifier is 1649935883, issued on Nov 2, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Hermantown, MN. The record was last updated on Nov 2, 2021.