MICHELLE WAGNER (NPI# 1407101843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407101843 |
| Entity Type | Individual |
| Full Name | MICHELLE WAGNER |
| Credential | B.C.B.A |
| Practice Address |
9755 Lincoln Village Dr Sacramento CA 95827-3334 |
| Practice Telephone | 9163636103 |
| Practice Fax Number | 9163636294 |
| Mailing Telephone | 9163636103 |
| Mailing Fax Number | 9163636294 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1095246 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032066 | Michelle Wagner | Speech-Language Pathologist | 17732 Highland Rd Ste G254, Baton Rouge, LA 70810-3846 | 2018-11-14 |
| 1528265956 | Michelle Dean Wagner | Counselor | 833 Broadway St, Suite 103, Cape Girardeau, MO 63701-5515 | 2007-06-29 |
| 1790265262 | Michelle Wagner | Registered Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2018-08-15 |
| 1326539180 | Michelle Diane Wagner | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St # 980264, Richmond, VA 23298-5051 | 2018-05-28 |
| 1194276113 | Michelle Wagner | Registered Nurse | 401 Cypress St, Manchester, NH 03103 | 2016-10-14 |
| 1396123485 | Michelle Wagner | Dietitian, Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2015-05-11 |
| 1689006181 | Michelle Lynn Wagner | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2013-08-07 |
| 1982984811 | Michelle Dillon Wagner | Speech-Language Pathologist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2011-08-23 |
| 1346566577 | Michelle Jayne Wagner | Family Medicine | 248 Mchenry St, Burlington, WI 53105-1828 | 2010-04-13 |
| 1831340850 | Michelle Wagner Iv | Physical Therapist | 21800 Chardon Rd, Euclid, OH 44117-2125 | 2008-10-08 |
| Street Address |
9755 LINCOLN VILLAGE DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487863122 | Kayla Thomas | Behavioral Analyst | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2007-05-21 |
| 1609477686 | Maximilian Coh | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2020-11-05 |
| 1962002170 | Jessica Van Der Haegan | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2020-10-27 |
| 1073112835 | Aviona Washington | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2020-10-22 |
| 1164020087 | Brittany Hightman | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2020-10-13 |
| 1831796358 | Brianna Arrington | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2020-10-07 |
| 1720685431 | Alexis Waine | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2020-10-06 |
| 1326645052 | Marissa Ewing | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2020-10-06 |
| 1295341154 | Alexandrya Navarro | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2020-09-16 |
| 1881208247 | Marc Martinez | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| 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 |
|---|---|---|---|---|
| 1639778756 | Reem Mashal | Behavioral Analyst | 8183 Silverleaf Way, Sacramento, CA 95829-1725 | 2020-10-20 |
| 1114524899 | Ciara Kay Prince | Behavioral Analyst | 333 University Ave Ste 300, Sacramento, CA 95825-6531 | 2020-10-05 |
| 1558997981 | Elizabeth Ashley Fuller | Behavioral Analyst | 1618 18th St Apt 4, Sacramento, CA 95811-6753 | 2020-03-17 |
| 1205466893 | Brianna Ram | Behavioral Analyst | 4320 Valley Hi Dr, Sacramento, CA 95823-6373 | 2020-01-22 |
| 1124667357 | Ayana Douglas | Behavioral Analyst | 2545 Warrego Way, Sacramento, CA 95826-2433 | 2020-01-06 |
| 1376180919 | Pryanka Kajol Narayan | Behavioral Analyst | 4911 73rd St, Sacramento, CA 95820-6027 | 2019-12-03 |
| 1790342939 | Behavior Bee, LLC | Behavioral Analyst | 2978 43rd St, Sacramento, CA 95817-3037 | 2019-05-23 |
| 1225691140 | Aries Gresham | Behavioral Analyst | 3075 Redding Ave Apt 825, Sacramento, CA 95820-2189 | 2019-04-16 |
| 1295207470 | Robert Hrabak II | Behavioral Analyst | 5670 El Arado Way, Sacramento, CA 95822-3110 | 2018-12-27 |
| 1215408158 | Serina Jimenez | Behavioral Analyst | 405 Olivadi Way, Sacramento, CA 95834-7616 | 2018-12-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
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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.