MATTHEW WAGNER


Address: 415 Medical Dr Ste D101, Bountiful, UT 84010-8905
Phone: (801) 683-1062

MATTHEW WAGNER (NPI# 1669994752) 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) 1669994752
Entity Type Individual
Full Name MATTHEW WAGNER
Practice Address 415 Medical Dr Ste D101
Bountiful
UT 84010-8905
Practice Telephone (801) 683-1062
Mailing Telephone 8016831062
Enumeration Date 2017-07-11
Last Update Date 2017-07-11
Gender Code M
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 MATTHEW WAGNER

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1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1538534334 Matthew Wagner Acupuncturist 4513 Vernon Blvd, Madison, WI 53705-4993 2015-12-04
1053749168 Matthew Wagner Counselor 545 N Mcdonough St Ste 212, Decatur, GA 30030-3310 2013-10-29
1114198751 Matthew Robert Wagner Orthopaedic Surgery 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 2008-03-21
1700415965 Matthew Anthony Wagner Student in an Organized Health Care Education/Training Program 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-04-08
1376177048 Matthew Gary Wagner Case Manager/Care Coordinator 16 W Long St, Columbus, OH 43215-2815 2020-03-02
1235613738 Matthew James Wagner Pharmacist 17213 Cole Rd, Hagerstown, MD 21740-6981 2018-09-20
1164918199 Matthew Steven Wagner Internal Medicine 5225 23rd Ave S, Fargo, ND 58104-7927 2018-07-02
1609371244 Matthew Anthony Wagner Student in an Organized Health Care Education/Training Program 509 Biltmore Ave, Asheville, NC 28801-4601 2018-03-26
1174973432 Matthew Wagner Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2016-06-17

Office Location

Street Address 415 MEDICAL DR STE D101
City BOUNTIFUL
State UT
Zip Code 84010-8905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942260401 Breanna R Nelson Speech-Language Pathologist 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2006-03-27
1114525862 Candace Ann Abbott Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-10-14
1083212930 Breannen Cohen Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-10-13
1376140798 Laura Alicia Lucky Counselor 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-10-08
1639776693 Taeko Michelle Colbert Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-10-02
1699382887 Anna L Straup Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-09-30
1851903983 Elaina M Grotepas Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-08-19
1104437110 Eden Deanne Steffey Psychologist 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-08-12
1891303111 Molly Murphy Dwyer Behavioral Analyst 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-07-22
1972127728 Benjamin Larsen Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225699192 Jessyca K Willie Behavior Technician 415 S. Medical Drive Suite D101, Bountiful, UT 84010 2019-06-21
1336634344 Shanna Joy Jaggers Social Worker 2333 S 200 E, Bountiful, UT 84010 2018-06-22
1447773171 Live Life Alarms Emergency Response System Companies 640 South 500 West, Bountiful, UT 84010 2017-07-25
1902328842 Hailey Embley Behavior Technician 415 Medical Drive D 101, Bountiful, UT 84010 2017-07-12
1508318031 Beverly Nielsen Psychologist 1001 Lakeview Drive, Bountiful, UT 84010 2016-11-01
1295287720 Samantha Oslund Speech-Language Pathologist 415 Medical Dr Ste B102, Bountiful, UT 84010 2016-11-01
1750748273 Jeremy Clark Morris Dentist 59 W 1600 N, Suite 110, Bountiful, UT 84010 2016-01-28
1629464706 Shane James Speech-Language Pathologist 425 Medical Dr Ste 122, Bountiful, UT 84010 2015-04-15
1891186102 Kenton Francis Social Worker 1355 North Main Street #1, Bountiful, UT 84010 2015-02-09
1205233855 Modern Dental Professionals - Utah, PC Dentist 24 S. 500 West, #a, Bountiful, UT 84010 2014-11-25
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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
1578162194 Kylie Steenblik Behavior Technician 1909 Ridgehill Dr, Bountiful, UT 84010-1022 2020-10-24
1619576030 Rachel Lynn Hileman Behavior Technician 1742 Ridge Point Dr, Bountiful, UT 84010-1055 2020-10-19
1225699192 Jessyca K Willie Behavior Technician 415 S. Medical Drive Suite D101, Bountiful, UT 84010 2019-06-21
1649839309 Cassidy Brooke Ralph Behavior Technician 2512 S 450 E, Bountiful, UT 84010-4313 2019-06-06
1669994604 Ulia Gamble Behavior Technician 830 N 500 W Apt 5, Bountiful, UT 84010-6844 2017-07-12
1902328842 Hailey Embley Behavior Technician 415 Medical Drive D 101, Bountiful, UT 84010 2017-07-12
1114525862 Candace Ann Abbott Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-10-14
1083212930 Breannen Cohen Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-10-13
1639776693 Taeko Michelle Colbert Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-10-02
1699382887 Anna L Straup Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2020-09-30
Find all providers in BOUNTIFUL

Competitor

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City BOUNTIFUL
Zip Code 84010

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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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