Individual provider · Type 1 NPI

Dejanae Tianna Wagner

Behavior Technician · Southfield, MI

NPI number 1932040433 Active

Practice location

20700 Civic Center Dr
Southfield, MI 48076-4140

Call (800) 385-1035 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000X256139793182 (MI)

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 1932040433

Dejanae Tianna Wagner's National Provider Identifier is 1932040433, issued on Apr 1, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Southfield, MI. The record was last updated on Apr 1, 2026.