VICTORIA MCKENZIE WAGNER (NPI# 1366919771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366919771 |
| Entity Type | Individual |
| Full Name | VICTORIA MCKENZIE WAGNER |
| Practice Address |
316 Mid Valley Ctr # 186 Carmel CA 93923-8516 |
| Mailing Address |
35671 Ridgeland Dr Denham Springs LA 70706-0874 |
| Practice Telephone | 8009916070 |
| Mailing Telephone | 2259380705 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35671 Ridgeland Dr, Denham Springs, LA 707060874 | 2259380705 | |
| 4021 We Heck Ct Ste 2, Baton Rouge, LA 708160416 | 2253025804 | |
| 102 S Tejon St Ste 1100, Colorado Springs, CO 80903 | 8009916070 | |
| 3084 Westfork Dr Ste C, Baton Rouge, LA 708162254 | 2252966083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1922258284 | Victoria Lea Wagner | Registered Nurse | 909 Eastgate Ct, Cumberland, MD 21502-1811 | 2008-09-23 |
| 1285139022 | Victoria Wagner | Student in an Organized Health Care Education/Training Program | 800 Rose St # C-246, Lexington, KY 40536-7001 | 2018-03-26 |
| 1619355781 | Victoria Wagner | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2015-05-11 |
| Street Address |
316 MID VALLEY CTR # 186 |
| City | CARMEL |
| State | CA |
| Zip Code | 93923-8516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777485 | Rianne Lightfoot | Behavior Technician | 316 Mid Valley Ctr # 186, Carmel, CA 93923-8516 | 2017-12-31 |
| 1104448174 | Anna Louise Lunsford | Behavior Technician | 316 Mid Valley Ctr # 186, Carmel, CA 93923-8516 | 2020-05-13 |
| 1356972327 | Kimberly Rose Cook | Behavioral Analyst | 316 Mid Valley Ctr # 186, Carmel, CA 93923-8516 | 2020-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114569316 | Jennifer Dee Johnson | Midwife | 38785 Palo Colorado Rd, Carmel, CA 93923 | 2019-10-09 |
| 1144719568 | Irvin Steven Siglin IIi | Massage Therapist | 27820 Dorris Drive, Suite 202, Carmel-by-the-sea, CA 93923 | 2018-05-02 |
| 1326407743 | Rick Hwang | Pharmacist | 6 The Crossroads, Carmel-by-the-sea, CA 93923 | 2016-02-12 |
| 1891104279 | Home Heart & Health | Custodial Care Facility | 10172 Oakwood Cir, Carmel, CA 93923 | 2014-08-11 |
| 1275822892 | Cheryl Trotter Robertson | Marriage & Family Therapist | 3785 Via Nona Marie, Suite #300, Carmel, CA 93923 | 2011-04-05 |
| 1174738447 | Kristine Belnap Jensen | Social Worker | 24753 Upper Trail, Carmel, CA 93923 | 2007-05-11 |
| 1154459204 | Francine Marie Michaels | Chiropractor | 26135 Carmel Rancho Blvd Ste F24, Carmel, CA 93923 | 2007-03-01 |
| 1407937139 | Carl Ramond Bergstrom | Internal Medicine | 26366 Carmel Rancho Lane, Ste H, Carmel, CA 93923 | 2006-10-18 |
| 1699861716 | Susan Victoria Jones | Marriage & Family Therapist | 3533 Lazarro Dr, Carmel, CA 93923 | 2006-10-05 |
| 1184739757 | Alejandro Francisco Centurion | Psychiatry & Neurology | 100 Clock Tower Place, Suite 225, Carmel, CA 93923 | 2006-08-21 |
| Find all providers in zip 93923 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | 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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460785 | Miquazha Dunbar | Behavior Technician | 316 Mid Valley Ctr, Carmel, CA 93923-8516 | 2020-09-03 |
| 1649883976 | Amie Byers | Behavior Technician | 1081 3rd Ave Sw Ste 7, Carmel, IN 46032-7500 | 2020-08-26 |
| 1023571320 | Atlantic Solutions LLC | Behavior Technician | 1111 W Main St Apt 504, Carmel, IN 46032-1593 | 2019-04-12 |
| 1245727015 | Rachel Colston | Behavior Technician | 316 Mid Valley Ctr Ste 186, Carmel, CA 93923-8516 | 2018-04-17 |
| 1548777485 | Rianne Lightfoot | Behavior Technician | 316 Mid Valley Ctr # 186, Carmel, CA 93923-8516 | 2017-12-31 |
| 1073110961 | Lacey Marie Carr | Behavior Technician | 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 | 2020-10-05 |
| 1518564707 | Erica Danielle Freeman | Behavior Technician | 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 | 2020-10-01 |
| 1780291161 | James Landis Nauyokas | Behavior Technician | 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 | 2020-09-29 |
| 1124634183 | Crystal Stone | Behavior Technician | 1081 3rd Ave Sw Ste 7, Carmel, IN 46032-7500 | 2020-09-16 |
| 1639784317 | Elizabeth Jane White | Behavior Technician | 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 | 2020-09-10 |
| Find all providers in CARMEL | ||||
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| 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.