KAYLA DIANE WAGNER M.S., BCBA
NPI 1730654922
Behavior Analyst in West Frankfort, IL

Q: What is Kayla Wagner's NPI number?

The NPI number for Kayla Wagner is 1730654922. It was assigned to this individual provider in the NPPES registry on October 4, 2018. The provider is also known as Kayla Diane Brachbill M.S., Bcba.

Q: What is Kayla 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 Kayla Wagner was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 04, 2018

902 W MAIN ST, WEST FRANKFORT, IL 62896(855) 608-3560 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2019, Jan 10, 2019, Oct 4, 2018 (3 updates tracked since 2018).

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About Kayla Diane Wagner M.s., Bcba NPPES

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

KAYLA DIANE WAGNER M.S., BCBA (NPI 1730654922) is an individual behavior analyst provider in West Frankfort, Illinois, licensed in (1-19-35267) and active in the NPI registry since October 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730654922

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKAYLA DIANE WAGNERCredential: M.S., BCBA

Location Address902 W MAIN STWest Frankfort, IL 62896

Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483

Phone(855) 608-3560

Sole ProprietorNo

Enumeration DateOctober 4, 2018

Last NPPES UpdateJuly 25, 20193 updates tracked since enumeration

✔ NPI 1730654922 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 · 1-19-35267

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.

902 W MAIN ST, West Frankfort, IL 62896

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Other Names 1

Former Name (1)Kayla Diane Brachbill M.s., Bcba

Secondary Practice Locations 2

Location 1902 W Main StWest Frankfort, IL 62896 · Phone (855) 608-3560 ext. 7623

Location 2402 E Plaza Dr Ste 5Carterville, IL 62918-2092 · Phone (618) 319-6060

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.

AKIYA D HARRIS

Counselor