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MRS. KASSIDY DIANE WAGNER BCBA
NPI 1376197723
Behavior Analyst in Eagle, ID

Active since July 24, 2019
449 S FITNESS PL, EAGLE, ID 83616(208) 957-6301(208) 228-0585 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kassidy Diane Wagner Bcba NPPES

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

MRS. KASSIDY DIANE WAGNER BCBA (NPI 1376197723) is an individual behavior analyst provider in Eagle, Idaho, licensed in Idaho (1-23-68300) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1376197723
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMRS. KASSIDY DIANE WAGNERCredential: BCBA
Location Address449 S FITNESS PLEagle, ID 83616-6828
Mailing Address449 S Fitness PlEagle, ID 83616-6828 · (208) 957-6301 · Fax (208) 228-0585
Phone(208) 957-6301
Fax(208) 228-0585
Sole ProprietorNo
Enumeration DateJuly 24, 2019
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1376197723 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 in ID · 1-23-68300
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.
449 S FITNESS PL, Eagle, ID 83616
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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.

VICTORIA BARBER
Occupational Therapy Assistant
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
DR. AMY LYNN FUST SHAVER BS, OTD
Occupational Therapist
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
MEGAN OLIVIA GIBB
Occupational Therapy Assistant
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
JESSICA GIVEN C.O.T.A/L
Occupational Therapy Assistant
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 937-6301
COLBY JAMES TAYLOR
Occupational Therapist (Pediatrics)
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
MIRANDA SULLIVAN MS, CCC-SLP
Speech-Language Pathologist
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
JENNY SUE BROWN COTA
Occupational Therapy Assistant
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
LUKAS STASHIK
Behavior Technician
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301

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 Kassidy Wagner's NPI number?

The NPI number for Kassidy Wagner is 1376197723. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Kassidy Wagner located?

Kassidy Wagner practices at 449 S Fitness Pl, Eagle, ID 83616. The listed phone number is (208) 957-6301.

What is Kassidy Wagner's specialty?

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

What insurance does Kassidy Wagner accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Kassidy Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kassidy Wagner was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.