STACEY KETRY WAGNER
NPI 1013503481
Behavior Technician in Chattanooga, TN

Active since December 18, 2020
2826 AMNICOLA HWY, CHATTANOOGA, TN 37406(423) 417-3273 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Ketry Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY KETRY WAGNER (NPI 1013503481) is an individual behavior technician in Chattanooga, Tennessee and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1013503481
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSTACEY KETRY WAGNER
Location Address2826 AMNICOLA HWYChattanooga, TN 37406-3605
Mailing Address2826 Amnicola HwyChattanooga, TN 37406-3605
Sole ProprietorNo
Enumeration DateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
NPI 1013503481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
2826 AMNICOLA HWY, Chattanooga, TN 37406

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
2826 AMNICOLA HWY
CHATTANOOGA, TN 37406
Behavior Technician
2826 AMNICOLA HWY
CHATTANOOGA, TN 37406
Behavior Technician
2826 AMNICOLA HWY
CHATTANOOGA, TN 37406
Behavior Technician
2826 AMNICOLA HWY
CHATTANOOGA, TN 37406
Behavior Technician
2826 AMNICOLA HWY
CHATTANOOGA, TN 37406
Behavior Technician
2826 AMNICOLA HWY
CHATTANOOGA, TN 37406
Behavior Technician
2826 AMNICOLA HWY
CHATTANOOGA, TN 37406
Behavior Technician
2826 AMNICOLA HWY
CHATTANOOGA, TN 37406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Wagner's NPI number?

The NPI number for Stacey Wagner is 1013503481. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Where is Stacey Wagner located?

Stacey Wagner practices at 2826 Amnicola Hwy, Chattanooga, TN 37406. The listed phone number is (423) 417-3273.

What is Stacey Wagner's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Stacey Wagner was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.