Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRYSTALYN JEANNETTE WAGNER
NPI 1285389783
Behavior Technician in Beverly Hills, FL

Active since February 14, 2022
3404 N LECANTO HWY, BEVERLY HILLS, FL 34465(352) 419-4856 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 10, 2026, Feb 14, 2022 (2 updates tracked since 2022).

About Krystalyn Jeannette Wagner NPPES

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

KRYSTALYN JEANNETTE WAGNER (NPI 1285389783) is an individual behavior technician in Beverly Hills, Florida and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1285389783
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKRYSTALYN JEANNETTE WAGNER
Location Address3404 N LECANTO HWYBeverly Hills, FL 34465-3569
Mailing Address3404 N Lecanto Hwy Ste DBeverly Hills, FL 34465-3569
Sole ProprietorYes
Enumeration DateFebruary 14, 2022
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
NPI 1285389783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedCounselorTaxonomy 101Y00000X
3404 N LECANTO HWY, Beverly Hills, FL 34465

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Podiatric)
3404 N LECANTO HWY, SUITE A
BEVERLY HILLS, FL 34465
Counselor
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465
Clinic/Center
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465
Podiatrist (Foot & Ankle Surgery)
3404 N LECANTO HWY, SUITE A
BEVERLY HILLS, FL 34465
Counselor
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465
Social Worker (Clinical)
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465
Counselor (Mental Health)
3404 N LECANTO HWY, STE D
BEVERLY HILLS, FL 34465
Social Worker (Clinical)
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465

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 Krystalyn Wagner's NPI number?

The NPI number for Krystalyn Wagner is 1285389783. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Where is Krystalyn Wagner located?

Krystalyn Wagner practices at 3404 N Lecanto Hwy, Beverly Hills, FL 34465. The listed phone number is (352) 419-4856.

What is Krystalyn 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 Krystalyn Wagner was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.