VICTORIA WAGEMAN (NPI# 1407362965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407362965 |
| Entity Type | Individual |
| Full Name | VICTORIA WAGEMAN |
| Practice Address |
13322 I St Omaha NE 68137-1111 |
| Practice Telephone | 4022305861 |
| Practice Fax Number | 5312005808 |
| Mailing Telephone | 4022305861 |
| Mailing Fax Number | 5312005808 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-18-9233 | NE | Behavioral Health & Social Service Providers |
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
13322 I ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68137-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316250236 | Tressa Lynn Rosone | Behavioral Analyst | 13322 I St, Omaha, NE 68137-1111 | 2010-07-20 |
| 1487251179 | Hannah May | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-10-06 |
| 1497352421 | Makenzie Mantz | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-10-02 |
| 1427665462 | Josiah Hintz | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-09-24 |
| 1487266300 | Skyler Gamble | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-08-21 |
| 1366053969 | Mary Mcconnell | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-08-17 |
| 1275144875 | Elizabeth Rabe | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-08-17 |
| 1366053977 | William Bruckner | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-08-17 |
| 1801407416 | Holly Kenny | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-08-17 |
| 1194336792 | Amy Anderson | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1326567686 | Lachelle Zuhlke | Psychologist | 5606 S. 147th Street, Omaha, NE 68137 | 2017-09-18 |
| 1043739766 | Rachel Miller | Registered Nurse | 5606 S. 147th St, Omaha, NE 68137 | 2017-09-13 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1790153617 | Answers for Autism, LLC | Community/Behavioral Health | 6424 S 150th St., Omaha, NE 68137 | 2015-09-09 |
| 1912382383 | Rocky Mountain Holdings, LLC | Ambulance | 12916 Millard Airport Plz, Omaha, NE 68137 | 2015-07-27 |
| Find all providers in zip 68137 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1326572967 | Kyleigh Bromen | Assistant Behavior Analyst | 900 S 74th Plz Ste 102, Omaha, NE 68114-4667 | 2017-04-19 |
| 1437696051 | Kally Sorensen | Assistant Behavior Analyst | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2017-01-20 |
| 1891244018 | Courtney M Petersen | Assistant Behavior Analyst | 16902 Camden Ave, Omaha, NE 68116-8023 | 2016-09-28 |
| 1871079236 | Lydia Danielle Nicolaus | Assistant Behavior Analyst | 900 S 74th Plz Ste 102, Omaha, NE 68114-4667 | 2018-07-18 |
| 1184132169 | Steffi Read | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2018-01-12 |
| 1386150845 | Jaclyn Barron | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2017-12-20 |
| 1104331503 | Amanda Denier | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902399595 | Aaron Martinez | Assistant Behavior Analyst | 20 Vince Dr, Bennet, NE 68317-2418 | 2018-06-08 |
| 1497294698 | Gretchen C Hutson | Assistant Behavior Analyst | 1012 Lincoln Rd Ste B, Bellevue, NE 68005-3102 | 2017-02-21 |
| 1457959009 | Madden Sharrett | Assistant Behavior Analyst | 1145 High St, Lincoln, NE 68502-4440 | 2020-10-15 |
| 1316545866 | Treana Anderson | Assistant Behavior Analyst | 1145 High St, Lincoln, NE 68502-4440 | 2020-10-15 |
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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.