DANIEL JACOB WAGNER (NPI# 1164062741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164062741 |
| Entity Type | Individual |
| Full Name | DANIEL JACOB WAGNER |
| Credential | BCBA |
| Practice Address |
14724 Ventura Blvd Ste 1110 Sherman Oaks CA 91403-3511 |
| Mailing Address |
18115 Andrea Cir N Unit 1 Northridge CA 91325-1111 |
| Practice Telephone | 8185014240 |
| Practice Fax Number | 8185010470 |
| Mailing Telephone | 8184621168 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-39963 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790950798 | Daniel Ben Wagner | Psychologist | 14808 Physicians Ln, 111, Rockville, MD 20850-3942 | 2008-04-29 |
| 1700983582 | Daniel Jason Wagner | Emergency Medicine | 13526 Peseta Ct, Corpus Christi, TX 78418-6932 | 2006-09-20 |
| 1912957713 | Daniel M Wagner | Specialist/Technologist | 1200 W University Ave, Box 912, Mitchell, SD 57301-4358 | 2006-05-11 |
| 1922629583 | Daniel Wagner | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-05 |
| 1679119549 | Daniel Tadashi Wagner | Physical Therapist | 1401 S Beretania St Ste 550, Honolulu, HI 96814-1880 | 2019-11-26 |
| 1477084507 | Daniel Wagner | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave, Columbus, OH 43210-1267 | 2017-03-21 |
| 1639327794 | Daniel Charles Wagner | Respiratory Therapist, Registered | 2501 W 22nd St, Respiratory Therapy, Sioux Falls, SD 57105-1305 | 2008-09-03 |
| 1942419452 | Daniel Lee Wagner | Internal Medicine | 1000 W 10th St, Rolla, MO 65401-2905 | 2007-05-21 |
| 1891880191 | Daniel Gray Wagner | Obstetrics & Gynecology | 224 S Woods Mill Rd, Suite 750, Chesterfield, MO 63017-3451 | 2006-10-03 |
| 1376651075 | Daniel J Wagner | Chiropractor | 2922 De La Vina St, Santa Barbara, CA 93105-3372 | 2006-08-25 |
| Street Address |
14724 VENTURA BLVD STE 1110 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902107899 | Working With Autism, Inc. | Local Education Agency (LEA) | 14724 Ventura Blvd Ste 1110, Sherman Oaks, CA 91403-3511 | 2010-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616392 | Cassandra Joann Garrett | Behavioral Analyst | 4333 Stern Ave Apt 204, Sherman Oaks, CA 91423-5204 | 2020-07-10 |
| 1831724814 | Avishai Zacharia | Behavioral Analyst | 15315 Magnolia Blvd Ste 428, Sherman Oaks, CA 91403-1177 | 2020-03-10 |
| 1326503350 | Corinne Nicole Grillo | Behavioral Analyst | 14148 Magnolia Blvd Ste 103, Sherman Oaks, CA 91423-6414 | 2019-02-04 |
| 1457856569 | Herman Marinero | Behavioral Analyst | 13400 Riverside Dr Ste 220, Sherman Oaks, CA 91423-2500 | 2018-03-29 |
| 1962929976 | Atlas Behavior Services LLC | Behavioral Analyst | 4955 Van Nuys Blvd Ste 514, Sherman Oaks, CA 91403-1831 | 2017-08-30 |
| 1184151706 | Manjit Sidhu | Behavioral Analyst | 13440 Ventura Blvd Ste 200, Sherman Oaks, CA 91423-6158 | 2017-05-13 |
| 1992232672 | Diana De La Torre | Behavioral Analyst | 15260 Ventura Blvd, Sherman Oaks, CA 91403-5307 | 2017-05-12 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1740732023 | Behavior Trend | Behavioral Analyst | 5658 Sepulveda Blvd Ste 200, Sherman Oaks, CA 91411 | 2016-11-02 |
| 1164977344 | Era Behavioral Solutions Inc | Behavioral Analyst | 13400 Riverside Dr Ste 120, Sherman Oaks, CA 91423-2513 | 2016-08-17 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
Please comment or provide details below to improve the information on DANIEL JACOB WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.