LINCOLN EDWARD WAGNER MA, BCBA, LBA
NPI 1174224844
Behavior Analyst in Sandy, UT

Active since March 10, 2023
11731 S CANBERRA DR, SANDY, UT 84094(325) 642-8586(801) 758-3633 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2026, Mar 10, 2023 (2 updates tracked since 2023).

  • Individual
  • Male
  • Behavior Analyst

About LINCOLN WAGNER

This page provides the complete NPI Profile along with additional information for Lincoln Wagner, a provider established in Sandy, Utah with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1174224844 assigned on March 2023. The practitioner's primary taxonomy code is 103K00000X with license number 14279645-2506 (UT). The provider is registered as an individual and his NPI record was last updated April 2026.

NPI
1174224844 Verify this NPI
Provider Name
LINCOLN EDWARD WAGNER MA, BCBA, LBA
Gender
Male
Entity Type
Individual
Location Address
11731 S CANBERRA DR SANDY, UT 84094
Location Phone
(325) 642-8586
Location Fax
(801) 758-3633
Mailing Address
11731 S CANBERRA DR SANDY, UT 84094
Mailing Phone
(325) 642-8586
Mailing Fax
(801) 758-3633
Is Sole Proprietor?
No
Enumeration Date
03-10-2023
Last Update Date
04-14-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
14279645-2506
License State
UT
Taxonomy Description
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.

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Behavior Analyst
11731 S CANBERRA DR
SANDY, UT 84094
Behavior Analyst
11731 S CANBERRA DR
SANDY, UT 84094
Assistant Behavior Analyst
11731 S CANBERRA DR
SANDY, UT 84094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174224844, enumerated as an "individual" on March 10, 2023.

The provider is located at 11731 S CANBERRA DR SANDY, UT 84094 and the phone number is (325) 642-8586.

Behavior Analyst with taxonomy code 103K00000X.