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Kayla Diane Wagner , MS, BCBA

Behavior Analyst β€’ West Frankfort, IL

Active NPI 1730654922 Individual Practitioner Female Practitioner
Practice location in NPPES

902 W Main St
West Frankfort, IL 62896

Call 8556083560 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

902 W Main St

West Frankfort, IL 62896

Telephone 8556083560
Organization at the Same NPPES Address or Phone
Centerstone Of Illinois, Inc Facility NPI 1053455667

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Carterville, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in West Frankfort and Illinois

4 active clinicians are listed under Behavior Analyst with a practice address in West Frankfort, IL (3,085 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES None 1-19-35267

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

902 W Main St

West Frankfort, IL 62896

Phone: 8556083560

402 E Plaza Dr Ste 5

Carterville, IL 629182092

Phone: 6183196060

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Preston Simpson , MSW, LCSW

Social Worker - Clinical

NPI 1083249635

Master of Social Work, Licensed Clinical Social Worker

Brittany Vaughn , LCSW

Social Worker - Clinical

NPI 1033677687

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 25, 2019

Recorded as KAYLA WAGNER, M.S., BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2019

Behavior Analyst (license number reported to NPPES: None 1-19-35267)

πŸ“
Updated Practice Location January 10, 2019

Registered at 902 W MAIN ST, WEST FRANKFORT, IL 62896 (Tel: 8556083560)

πŸ“
Updated Business Mailing Address January 10, 2019

Registered at 902 W MAIN ST, WEST FRANKFORT, IL 628962210 (Tel: 6189376483)

πŸ‘€
Provider Name / Credentials Updated January 10, 2019

Recorded as KAYLA BRACHBILL, M.S., RBT

βœ…
NPI Profile Active October 04, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2018

Registered at 338 BROADWAY ST STE 301, CAPE GIRARDEAU, MO 637017331 (Tel: 5732256678)

πŸ“
Business Mailing Address (Initial Record) October 04, 2018

Registered at 338 BROADWAY ST STE 301, CAPE GIRARDEAU, MO 637017331 (Tel: 5732256678)

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2018

Recorded as KAYLA BRACHBILL, BS, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2018

Behavior Technician (license number reported to NPPES: None RBT-17-36622)

🟒
Initial NPI Registration & Enumeration October 04, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730654922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2018
Last Update: July 25, 2019
Sole Proprietor: No

Mailing Address

902 W Main St

West Frankfort, IL 628962210

Phone: 6189376483

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.