THERESA RENEE WAGNER (NPI# 1659685378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659685378 |
| Entity Type | Individual |
| Full Name | THERESA RENEE WAGNER |
| Credential | BCABA |
| Practice Address |
2711 Madison Oaks Ct Charlotte NC 28226-7672 |
| Practice Telephone | 7048396252 |
| Mailing Telephone | 7048396252 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912984857 | Theresa Ebanks Wagner | Ophthalmology | 925 Starwood Dr, Cedar Park, TX 78613 | 2005-12-30 |
| 1841613833 | Theresa Wagner | Occupational Therapist | 77 E Merrimack St, Lowell, MA 01852-1251 | 2014-01-27 |
| 1700032596 | Theresa Wagner | Pharmacist | 1055 Clermont St, Denver, CO 80220-3808 | 2008-08-12 |
| 1093981292 | Theresa Ann Wagner | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2008-05-07 |
| Street Address |
2711 MADISON OAKS CT |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-7672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| 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 |
|---|---|---|---|---|
| 1619513496 | Alicia Renee Costner | Behavioral Analyst | 13001 Seascape Ln, Charlotte, NC 28278-7113 | 2019-11-27 |
| 1659932713 | Delia Conroy | Behavioral Analyst | 1420 Abbey Pl Apt 217, Charlotte, NC 28209-3071 | 2019-06-27 |
| 1508332982 | Behavioral Health Management | Behavioral Analyst | 1016 Jordans Pond Ln, Charlotte, NC 28214-7148 | 2018-10-23 |
| 1760967855 | Pwandra Natalia Robinson | Behavioral Analyst | 707 Yorkdale Dr, Charlotte, NC 28217-3494 | 2018-09-25 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1396226106 | Brandi Finger | Behavioral Analyst | 10471 Alexander Martin Ave, Charlotte, NC 28277-8192 | 2018-08-29 |
| 1356822696 | Staci Lynne Kolko | Behavioral Analyst | 17206 Lancaster Hwy Ste 501, Charlotte, NC 28277-2004 | 2018-08-24 |
| 1639650005 | Bonnie Y Anderson | Behavioral Analyst | 5200 77 Center Dr Ste 130, Charlotte, NC 28217-0742 | 2018-08-23 |
| 1740775030 | Acceptwc | Behavioral Analyst | 2600 W Trade St, Charlotte, NC 28208-3245 | 2018-06-28 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| Find all providers in CHARLOTTE | ||||
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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.