SALLY WAGNER (NPI# 1114579091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114579091 |
| Entity Type | Individual |
| Full Name | SALLY WAGNER |
| Practice Address |
2225 Sycamore St Harrisburg PA 17111-1026 |
| Practice Telephone | 8445884222 |
| Practice Fax Number | 7177753443 |
| Mailing Telephone | 8445884222 |
| Mailing Fax Number | 7177753443 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497951305 | Sally Marie Wagner | Physical Therapy Assistant | 400 N 7th St, Marietta, OH 45750-2024 | 2007-06-26 |
| Street Address |
2225 SYCAMORE ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891258869 | Kaitlin L Eisenhauer | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2019-04-08 |
| 1639709348 | Jennifer Abel | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2020-01-22 |
| 1548890254 | Elizabeth Flowers | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2020-01-22 |
| 1487284196 | Alexis Alwine-frank | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2020-01-22 |
| 1548805443 | Jessica Sprout | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2019-11-14 |
| 1023653920 | Megan Anderson | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2019-11-14 |
| 1881239770 | Katherine Zerby | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2019-11-14 |
| 1881239788 | Danielle Ford | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2019-11-14 |
| 1023650421 | Stevi Thompson | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2019-10-17 |
| 1871143099 | Katie John | Behavior Technician | 2225 Sycamore St, Harrisburg, PA 17111-1026 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral 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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294512 | Courtney Kathleen Nissley | Behavioral Analyst | 7540 Allentown Blvd Ste 5, Harrisburg, PA 17112-4238 | 2020-08-06 |
| 1104436427 | Jessica Frances Minnich | Behavioral Analyst | 7500 Allentown Blvd Unit 5, Harrisburg, PA 17112-4233 | 2020-08-01 |
| 1730704214 | Megan Rae Harrison | Behavioral Analyst | 28 Veterans Dr, Harrisburg, IL 62946-3320 | 2020-06-10 |
| 1447772157 | Victoria M Grimm | Behavioral Analyst | 2330 Vartan Way Ste 204, Harrisburg, PA 17110-9763 | 2017-07-13 |
| 1134520554 | Alyssa Esposito | Behavioral Analyst | 100 N Cameron St Ste 401w, Harrisburg, PA 17101-2404 | 2014-09-05 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1841536141 | Sheryl Ann Watson | Behavioral Analyst | 3010 Locust Ln, Harrisburg, PA 17109-3535 | 2012-12-14 |
| 1669759361 | Melinda Desmarais | Behavioral Analyst | 1826 Green St, Harrisburg, PA 17102-2254 | 2011-11-08 |
| 1457641110 | Michael Paul Roth | Behavioral Analyst | 3834 Birchwood Cir, Harrisburg, PA 17110-9385 | 2011-04-14 |
| 1467684357 | Amanda C Pendleton | Behavioral Analyst | 6188 Spring Knoll Dr, Harrisburg, PA 17111-6803 | 2009-08-11 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
Please comment or provide details below to improve the information on SALLY WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.