REGINNA L WAGONER


Address: 76 Champagne Dr, Morgantown, WV 26508-5223
Phone: 3046921820

REGINNA L WAGONER (NPI# 1265973267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265973267
Entity Type Individual
Full Name REGINNA L WAGONER
Credential BCBA
Practice Address 76 Champagne Dr
Morgantown
WV 26508-5223
Practice Telephone 3046921820
Mailing Telephone 3046921820
Enumeration Date 2017-03-10
Last Update Date 2017-03-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-12-10533 WV Behavioral Health & Social Service Providers

Office Location

Street Address 76 CHAMPAGNE DR
City MORGANTOWN
State WV
Zip Code 26508-5223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316468663 Ww Behavior Consulting Behavioral Analyst 76 Champagne Dr, Morgantown, WV 26508-5223 2017-06-27

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NPI Name Taxonomy Address Enumeration
1750989026 Ruth Gibson Technician 4 Elpaso Ave, Morgantown, WV 26508 2020-10-09
1518565845 Anne Jiang Pharmacist 7000 Mid Atlantic Dr., Morgantown, WV 26508 2020-10-09
1396356283 Jessica Dawn Taylor Technician Lot 128 Healthy Heights Village, Morgantown, WV 26508 2020-08-13
1992297733 Jeffrey G Minchau Dds Ms Dentist 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 2018-06-06
1346796257 Gregory Ice Social Worker 1627 Grafton Rd, Morgantown, WV 26508 2016-08-31
1306242540 Mountaineer Psychological Services Community/Behavioral Health 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 2014-11-17
1750722906 Tingler Rx Pharmacy 889 Venture Drive, Suite 2, Morgantown, WV 26508 2013-07-16
1881033983 Amy Rodgers Smith Music Therapist 714 Venture Drive #115, Morgantown, WV 26508 2013-06-21
1013250588 Walid Radwan Student in an Organized Health Care Education/Training Program 1121 Eagle Run Road, Morgantown, WV 26508 2013-04-02
1467727040 Sara Lyndsey Disimone Counselor 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 2012-03-15
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174095111 Charlotte Renee Arrington Behavioral Analyst 5000 Greenbag Rd Ste A1, Morgantown, WV 26501-7123 2018-12-31
1780171629 Aba Specialists of Morgantown LLC Behavioral Analyst 345 Falcon Run, Morgantown, WV 26508-4526 2018-04-17
1821598269 Autism Support Services LLC Behavioral Analyst 808 Ridgeway Ave, Morgantown, WV 26505-5748 2018-02-12
1780102541 Katherine Jane Mitchem Behavioral Analyst 827 Fairmont Rd Ste 207, Morgantown, WV 26501-3857 2017-08-31
1487923785 Sharon Holbert Behavioral Analyst 3309 Darrah Ave, Morgantown, WV 26508-9187 2011-12-16
1457811465 Devin Lane Parsons Behavioral Analyst 5000 Greenbag Rd Ste A1, Morgantown, WV 26501-7123 2019-03-25
1073085015 Haley Miriah Ramsey Behavioral Analyst 5000 Greenbag Rd Ste A1, Morgantown, WV 26501-7123 2018-12-31
1609379759 Kalie Renee Kossar Behavioral Analyst 827 Fairmont Rd Ste 207, Morgantown, WV 26501-3857 2018-03-15
1316468663 Ww Behavior Consulting Behavioral Analyst 76 Champagne Dr, Morgantown, WV 26508-5223 2017-06-27
1700247665 Joseph Shane Behavioral Analyst 201 Bakers Ridge Rd, Morgantown, WV 26508 2016-03-18
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Competitor

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City MORGANTOWN
Zip Code 26508

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Dataset Information

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.

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