KELLY ELIZABETH WAGNER BCBA
NPI 1093466112
Behavior Analyst in Stirling, NJ

Q: What is Kelly Wagner's NPI number?

The NPI number for Kelly Wagner is 1093466112. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Q: What is Kelly Wagner's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Wagner was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 11, 2022

1071 VALLEY RD, STIRLING, NJ 07980(908) 604-4500 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Elizabeth Wagner Bcba NPPES

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

KELLY ELIZABETH WAGNER BCBA (NPI 1093466112) is an individual behavior analyst provider in Stirling, New Jersey, licensed in (1-21-53767) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1093466112

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKELLY ELIZABETH WAGNERCredential: BCBA

Location Address1071 VALLEY RDStirling, NJ 07980-1523

Mailing Address29 Cain CtBridgewater, NJ 08807-3702 · (732) 425-3518

Phone(908) 604-4500

Sole ProprietorNo

Enumeration DateJanuary 11, 2022

NPPES CertifiedJanuary 7, 2022

✔ NPI 1093466112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed · 1-21-53767

Definition

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.

1071 VALLEY RD, Stirling, NJ 07980

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Other Identifiers 1

Other1-21-53767Behavior Analyst Certification Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

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