SETH WAGNER (NPI# 1548747827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548747827 |
| Entity Type | Individual |
| Full Name | SETH WAGNER |
| Credential | RBT |
| Practice Address |
Rr 61 Box 3030 Naylor MO 63953-9414 |
| Practice Telephone | 5734291518 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003398959 | Seth Christopher Wagner | Nurse Practitioner | 184 Barton St, Buffalo, NY 14213-1573 | 2018-09-06 |
| 1659506277 | Seth T Wagner | Internal Medicine | 1114 Professional Blvd, Dalton, GA 30720 | 2009-05-27 |
| Street Address |
RR 61 BOX 3030 |
| City | NAYLOR |
| State | MO |
| Zip Code | 63953-9414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639655442 | Dynamic Behavioral Services, LLC | Community/Behavioral Health | Rr 61 Box 3030, Naylor, MO 63953-9414 | 2018-07-15 |
| 1215414594 | Sharon Wagner | Behavioral Analyst | Rr 61 Box 3030, Naylor, MO 63953-9414 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336342815 | Naylor-neelyville Ambulance District | Ambulance | 101 North Front Street, Naylor, MO 63953 | 2007-06-11 |
| 1114021417 | Rebecca Ann Kelley | Registered Nurse | 220 E Broad St, Naylor, MO 63953 | 2006-09-08 |
| 1669858429 | Ashley M Oldham | Nurse Practitioner | 220 East Broad Street, Naylor, MO 63953-0038 | 2015-08-04 |
| 1104920420 | Big Springs Medical Association | Clinic/Center | 220 E Broad St., Naylor, MO 63953-0038 | 2006-09-08 |
| 1164693495 | Naylor Ambulance Association | Ambulance | 101 N Front Street, Naylor, MO 63953-0056 | 2008-03-14 |
| 1588012108 | Lisa Joplin | Counselor | Rr 61 Box 1270, Naylor, MO 63953-9709 | 2016-05-25 |
| 1699134627 | Stacey Roach | Speech-Language Pathologist | Rr 62 Box 512, Naylor, MO 63953-9792 | 2016-02-18 |
| 1417232489 | Naylor R-ii School District | Local Education Agency (LEA) | Rte 2 Box 512, Naylor, MO 63953-9792 | 2011-10-20 |
| 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 |
|---|---|---|---|---|
| 1851990386 | Brigitte A Thorn | Behavior Technician | 607 Vivian Ct, Park Hills, MO 63601-4441 | 2020-10-26 |
| 1558960906 | Joshua Kemp | Behavior Technician | 2957 Madison 208, Fredericktown, MO 63645-8478 | 2020-10-17 |
| 1649878158 | Bridget Heaton Garner | Behavior Technician | 33636 Country Club Rd, Slater, MO 65349-2238 | 2020-10-16 |
| 1356955967 | Mckayla Graves | Behavior Technician | 1640 Littleton Ct, Fenton, MO 63026-3015 | 2020-09-01 |
| 1922612787 | Julie Schrum | Behavior Technician | 751 Timberline Dr, Farmington, MO 63640-7800 | 2020-08-31 |
| 1508479528 | Alexis Marie Gallegos | Behavior Technician | 214 Ferrel St, Platte City, MO 64079-9511 | 2020-08-28 |
| 1881207264 | Kenyatta Dakesha Cole | Behavior Technician | 4889 Kossuth Ave Fl 1, Saint Louis, MO 63115-2107 | 2020-08-26 |
| 1336752872 | Jojinam Alicia Agbokou | Behavior Technician | 13087 Fox Haven Ct, Florissant, MO 63033-4800 | 2020-08-25 |
| 1912519372 | Chelsea Arnold | Behavior Technician | 1300 Locust St, Harrisonville, MO 64701-1366 | 2020-08-18 |
| 1629689633 | Veronica Lynn Kirk | Behavior Technician | 2270 Orleans Ln, Florissant, MO 63031-2114 | 2020-08-13 |
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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.