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JENNIFER WAGGONER
NPI 1932808573
Behavior Analyst in Plymouth, MN

Active since March 02, 2023
3007 HARBOR LN N STE 1200, PLYMOUTH, MN 55447(612) 439-4650 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Nov 13, 2023, Mar 2, 2023 (3 updates tracked since 2023).

About Jennifer Waggoner NPPES

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

JENNIFER WAGGONER (NPI 1932808573) is an individual behavior analyst provider in Plymouth, Minnesota, licensed in Minnesota (1-24-71207) and active in the NPI registry since March 2023. She maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1932808573
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJENNIFER WAGGONER
Location Address3007 HARBOR LN N STE 1200Plymouth, MN 55447-5138
Mailing Address3007 Harbor Ln N Ste 1200Plymouth, MN 55447-5138 · (612) 439-4650
Phone(612) 439-4650
Sole ProprietorNo
Enumeration DateMarch 2, 2023
Last NPPES UpdateMay 20, 20253 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1932808573 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 MN · 1-24-71207
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.
3007 HARBOR LN N STE 1200, Plymouth, MN 55447
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Secondary Practice Location 1

Location 117551 Generations DrSouth Bend, IN 46635-1589 · Phone (574) 400-2169 · Fax (317) 520-8200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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.

AVALON SIDNEY
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Hennepin County (612) 439-5650
SUMAYA MOHAMED
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Hennepin County (612) 439-4650
ASHLEY RAE HERFENDAL
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Hennepin County (612) 439-4650
GAOYEE XIONG
Technician, Other
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Hennepin County (612) 445-8314
MADISON LYNN DAVIS
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Hennepin County (612) 439-4650
JOSE ANGEL PECINA
Technician, Other
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Hennepin County (612) 445-8317
LILY SODERHOLM
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Hennepin County (612) 439-4650
JESSICA GROTH
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Hennepin County (612) 445-8314

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 Jennifer Waggoner's NPI number?

The NPI number for Jennifer Waggoner is 1932808573. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Jennifer Waggoner located?

Jennifer Waggoner practices at 3007 Harbor Ln N Ste 1200, Plymouth, MN 55447. The listed phone number is (612) 439-4650.

What is Jennifer Waggoner's specialty?

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

What insurance does Jennifer Waggoner accept?

Health plans from Sanford Health Plan list Jennifer Waggoner 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 Jennifer Waggoner was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.