BRANDY L WAGNER
NPI 1023668126
Behavior Technician in O Fallon, IL

Active since September 19, 2019
634 N MAIN ST STE 4, O FALLON, IL 62269(618) 726-5870 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandy L Wagner NPPES

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

BRANDY L WAGNER (NPI 1023668126) is an individual behavior technician in O Fallon, Illinois and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1023668126
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameBRANDY L WAGNER
Location Address634 N MAIN ST STE 4O Fallon, IL 62269-3746
Mailing Address21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807 · (818) 345-2345
Sole ProprietorNo
Enumeration DateSeptember 19, 2019
NPI 1023668126 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.
634 N MAIN ST STE 4, O Fallon, IL 62269

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
634 N MAIN ST STE 4
O FALLON, IL 62269
Behavior Analyst
634 N MAIN ST STE 4
O FALLON, IL 62269
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
Behavior Analyst
634 N MAIN ST STE 4
O FALLON, IL 62269
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269

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 Brandy Wagner's NPI number?

The NPI number for Brandy Wagner is 1023668126. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Brandy Wagner located?

Brandy Wagner practices at 634 N Main St Ste 4, O Fallon, IL 62269. The listed phone number is (618) 726-5870.

What is Brandy 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 Brandy Wagner was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.