REBECCA TINA WAGNER (NPI# 1750880324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750880324 |
| Entity Type | Individual |
| Full Name | REBECCA TINA WAGNER |
| Practice Address |
6704 Yellowhammer Pl North Las Vegas NV 89084-2693 |
| Practice Telephone | 7025868995 |
| Mailing Telephone | 7025868995 |
| Mailing Fax Number | 7024836221 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376976894 | Rebecca Michelle Wagner | Veterinarian | 243 S Elmwood Ave, Buffalo, NY 14201-2340 | 2013-08-20 |
| 1093020372 | Rebecca L Wagner | Dentist | 129 Chambers Hill Dr, Chambersburg, PA 17201-7302 | 2010-08-11 |
| 1184672552 | Rebecca De Haven Wagner | Social Worker | 9401 Mcknight Rd Ste 308, Pittsburgh, PA 15237-6000 | 2006-05-05 |
| 1164033759 | Rebecca Louise Wagner | Counselor | 688 White Plains Rd Ste 232, Scarsdale, NY 10583-5015 | 2020-08-16 |
| 1194261032 | Rebecca Masako Wagner | Counselor | 3300 Glenwood St, Eureka, CA 95501-3463 | 2017-01-17 |
| 1134662299 | Rebecca Wagner | Physician Assistant | Usa Meddac Bavaria, Cmr 411 Bldg 700, Apo, AE 09112 | 2016-11-22 |
| 1053720490 | Rebecca Lee Wagner | Physician Assistant | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2014-08-11 |
| 1518399054 | Rebecca Wagner | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2013-08-07 |
| 1114264082 | Rebecca Mary Wagner | Pharmacist | 84 Tuscan Way, St Augustine, FL 32092-1831 | 2013-01-11 |
| 1548414535 | Rebecca Wagner | Physical Therapy Assistant | 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 | 2008-11-05 |
| Street Address |
6704 YELLOWHAMMER PL |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285903476 | Robert Anthony Peoples | Counselor | 6704 Yellowhammer Pl, North Las Vegas, NV 89084-2693 | 2011-12-19 |
| 1811249451 | Man Up Ministries LLC | Counselor | 6704 Yellowhammer Pl, North Las Vegas, NV 89084-2693 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982542 | Claudia Ayala | Behavior Technician | 3633 Lakeside Villas Ave, North Las Vegas, NV 89081-4051 | 2020-11-06 |
| 1194326058 | Funxional Solutions | Behavior Technician | 926 Dawn Valley Dr, North Las Vegas, NV 89031-6608 | 2020-11-05 |
| 1093313611 | Shelley Osorio | Behavior Technician | 6445 Chatterer St, North Las Vegas, NV 89084-2820 | 2020-10-15 |
| 1609483809 | Shytazia Ariel Gantt | Behavior Technician | 140 E Rome Blvd # 109813, North Las Vegas, NV 89084-1417 | 2020-09-30 |
| 1811502719 | Alexie Taliulu | Behavior Technician | 3850 W Ann Rd., Ste 120, North Las Vegas, NV 89031-4407 | 2020-09-09 |
| 1245843754 | Tamara Garcia | Behavior Technician | 2125 N Las Vegas Blvd Apt 2009, North Las Vegas, NV 89030-5892 | 2020-08-25 |
| 1194340810 | Lanessa Shirley | Behavior Technician | 3850 W Ann Rd, Ste 120, North Las Vegas, NV 89031-4407 | 2020-06-09 |
| 1912531310 | Jasmine Sharnise Swanson | Behavior Technician | 3532 Tertulia Ave, North Las Vegas, NV 89081-6761 | 2020-02-25 |
| 1043843642 | Patricia Nicole Stewart | Behavior Technician | 4229 Telstar Ct, North Las Vegas, NV 89032-0742 | 2020-02-21 |
| 1528698164 | Amanda Mirkovich | Behavior Technician | 1017 Christopher View Ave, North Las Vegas, NV 89032-0261 | 2020-01-23 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
Please comment or provide details below to improve the information on REBECCA TINA 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.