SHANNON WAGNER (NPI# 1437624079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437624079 |
| Entity Type | Individual |
| Full Name | SHANNON WAGNER |
| Practice Address |
901 Caledonia St La Crosse WI 54603-2616 |
| Mailing Address |
14301 Ewing Ave S Burnsville MN 55306-4885 |
| Practice Telephone | 6087854100 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780077 | Shannon Marie Wagner | Counselor | 2310 E Atlantic Blvd Bldg 2, Pompano Beach, FL 33062-5251 | 2020-05-06 |
| 1225686538 | Shannon Lee Wagner | Behavior Technician | 203 Union St, Manchester, CT 06042-1938 | 2019-08-29 |
| 1255956512 | Shannon Michelle Wagner | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2020-06-12 |
| 1265073324 | Shannon Dee Wagner | Case Manager/Care Coordinator | 185 N 4th St, Saint Helens, OR 97051-1535 | 2019-09-30 |
| 1427512854 | Shannon Wagner | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2019-01-30 |
| 1871832691 | Shannon Wagner | Speech-Language Pathologist | 125 Ryan Industrial Ct, San Ramon, CA 94583-1772 | 2013-02-14 |
| 1467590737 | Shannon Wagner | Community/Behavioral Health | 2086 Commerce Ave, Concord, CA 94520-4902 | 2007-02-01 |
| Street Address |
901 CALEDONIA ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54603-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215912662 | Jacquelyn A Schmida | Speech-Language Pathologist | 901 Caledonia St, La Crosse, WI 54603-2616 | 2005-12-08 |
| 1538768494 | Sadie Mckay Spahn I | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-21 |
| 1891394110 | Allison Marie Deisting | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-19 |
| 1265030779 | Katelyn Felten | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-16 |
| 1447867429 | Andrea Rogala | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-09-24 |
| 1265048193 | Melissa Elizabeth Houman | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-09-16 |
| 1053924944 | Carlie Frances Ames | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-08-28 |
| 1255944898 | Miranda Molland | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-08-24 |
| 1811506363 | Elisha Lindsey | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-07-29 |
| 1134747710 | Courtney Taylor Schanau | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
| 1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
| 1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
| 1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
| 1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
| 1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
| 1164624920 | Kimberly Ann Connor | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100, La Crosse, WI 54603 | 2007-06-04 |
| Find all providers in zip 54603 | ||||
| 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 |
|---|---|---|---|---|
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1689149197 | Ashley Nicole Stephens | Behavior Technician | 317 4th St S, Suite 801, La Crosse, WI 54601-4047 | 2018-10-11 |
| 1992270771 | Rebecca Lynn Guldenaar | Behavior Technician | 317 4th St S Ste 801, La Crosse, WI 54601-4047 | 2018-10-09 |
| 1467956706 | Robert John Vannuland | Behavior Technician | 99 Milwaukee St, La Crosse, WI 54603-3179 | 2018-03-21 |
| 1538768494 | Sadie Mckay Spahn I | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-21 |
| 1891394110 | Allison Marie Deisting | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-19 |
| 1265030779 | Katelyn Felten | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-16 |
| 1447867429 | Andrea Rogala | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-09-24 |
| 1265048193 | Melissa Elizabeth Houman | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-09-16 |
| 1053924944 | Carlie Frances Ames | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-08-28 |
| Find all providers in LA CROSSE | ||||
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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.