MS. MAXINE WAGNER CDCA
NPI 1104317536
Behavior Technician in Dayton, OH

Active since May 22, 2018
732 BECKMAN ST, DAYTON, OH 45410(937) 853-3328 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, May 22, 2018 (2 updates tracked since 2018).

About Ms. Maxine Wagner Cdca NPPES

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

MS. MAXINE WAGNER CDCA (NPI 1104317536) is an individual behavior technician in Dayton, Ohio, licensed in Ohio (163681) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1104317536
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMS. MAXINE WAGNERCredential: CDCA
Location Address732 BECKMAN STDayton, OH 45410-2165
Mailing Address2219 Ravenwood AveDayton, OH 45406-2834 · (937) 830-1499
Sole ProprietorNo
Enumeration DateMay 22, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1104317536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in OH · 163681
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.
732 BECKMAN ST, Dayton, OH 45410

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.

Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Behavior Technician
732 BECKMAN ST
DAYTON, OH 45410
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410

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 Maxine Wagner's NPI number?

The NPI number for Maxine Wagner is 1104317536. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Maxine Wagner located?

Maxine Wagner practices at 732 Beckman St, Dayton, OH 45410. The listed phone number is (937) 853-3328.

What is Maxine 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 Maxine Wagner was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.