SHANNON LEE WAGNER


Address: 203 Union St, Manchester, CT 06042-1938
Phone: 8604553629

SHANNON LEE WAGNER (NPI# 1225686538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225686538
Entity Type Individual
Full Name SHANNON LEE WAGNER
Practice Address 203 Union St
Manchester
CT 06042-1938
Practice Telephone 8604553629
Mailing Telephone 8604553629
Enumeration Date 2019-08-29
Last Update Date 2019-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers SHANNON WAGNER

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1427512854 Shannon Wagner Behavior Technician 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 2019-01-30
1437624079 Shannon Wagner Behavior Technician 901 Caledonia St, La Crosse, WI 54603-2616 2018-10-10
1871832691 Shannon Wagner Speech-Language Pathologist 125 Ryan Industrial Ct, San Ramon, CA 94583-1772 2013-02-14
1467590737 Shannon Wagner Community/Behavioral Health 2086 Commerce Ave, Concord, CA 94520-4902 2007-02-01

Office Location

Street Address 203 UNION ST
City MANCHESTER
State CT
Zip Code 06042-1938

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275000960 Nicole Berger Behavioral Analyst 199 Tudor Lane, Apartment E, Manchester, CT 06042 2018-10-31
1902336522 Karen Scandura Pharmacist 260 North Main Street, Manchester, CT 06042 2017-06-15
1053727479 Sph3enterprise, LLC Dentist 194 Buckland Hills Drive, Manchester, CT 06042 2014-07-07
1962657288 Anthony Michael Gioscia Optometrist 344v Buckland Hills Dr, Manchester, CT 06042 2008-12-01
1467635714 Linda Fernald Gates Dietitian, Registered 300 Parker St, Manchester, CT 06042 2007-12-10
1669513909 Carlos Alfonso Gonzalez Psychiatry & Neurology 317 North Main Street, C/o Ccgc, Manchester, CT 06042 2007-02-09
1942350467 Lise G. O'neill Counselor Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 2007-01-10
1558439398 Jason Allen Sousa Chiropractor 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 2006-12-01
1245332444 Sharon Soria Dentist 192 Main Street, Manchester, TN 06042 2006-09-01
1699732206 First Choice Health Centers, Inc. Clinic/Center 150 N Main St Ste 240, Manchester, CT 06042 2006-04-27
Find all providers in zip 06042

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy 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.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811523707 Megan Mcdermott Behavior Technician 220 Youville St, Manchester, NH 03102-3034 2020-03-23
1972135085 Heather Sneed Behavior Technician 373 S Willow St Ste 226, Manchester, NH 03103-5751 2020-02-06
1043852536 Hannah Lee Behavior Technician 664 Mast Rd, Manchester, NH 03102-1429 2019-10-16
1851941124 Morgan Katherine Anne Dresch Behavior Technician 300 River Bend St, Manchester, MI 48158-9532 2019-09-18
1497302855 Ashley Marie Capraro Behavior Technician 769 Somerville St Apt 3, Manchester, NH 03103-4535 2019-08-21
1063065100 Kelsey Sanders Behavior Technician 280 Bodwell Rd, Manchester, NH 03109-5000 2019-07-18
1194378240 Kayla Sovie Behavior Technician 335 Belmont St, Manchester, NH 03103-4346 2019-07-18
1417500570 Robert Tompkins Behavior Technician 1163 Island Pond Rd, Manchester, NH 03109-5407 2019-07-18
1982257127 Shawna Packard Behavior Technician 1583 Belmont St, Manchester, NH 03104-2759 2019-07-17
1356994578 Cecilia Martins Behavior Technician 435 Cilley Rd Apt B, Manchester, NH 03103-4554 2019-07-17
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 06042

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Dataset Information

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.

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