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Daniel Jacob Wagner , BCBA

Behavior Analyst β€’ Logan, UT

Active NPI 1164062741 Individual Practitioner Male Practitioner
Practice location in NPPES

6405 Old Main Hill
Logan, UT 843223511

Call 4357973403 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

6405 Old Main Hill

Logan, UT 843223511

Telephone 4357973403
Organization at the Same NPPES Address or Phone
Utah State University Facility NPI 1447715701

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

NPI first issued

2020

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 Logan and Utah

16 active clinicians are listed under Behavior Analyst with a practice address in Logan, UT (1,041 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Logan

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

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

Self-certified to NPPES: 2025-08-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES UT 14004096-2506

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: Utah Division of Professional Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

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

1 listed
Dr. Wesley Hill , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1114288701

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location August 20, 2025

Registered at 6405 OLD MAIN HILL, LOGAN, UT 843223511 (Tel: 4357973403)

πŸ“
Updated Business Mailing Address August 20, 2025

Registered at 6405 OLD MAIN HILL, LOGAN, UT 843226405 (Tel: 8184621168)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2025

Behavior Analyst (license number reported to NPPES: UT 14004096-2506)

βœ…
NPI Profile Active January 10, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 10, 2020

Registered at 14724 VENTURA BLVD STE 1110, SHERMAN OAKS, CA 914033511 (Tel: 8185014240)

πŸ“
Business Mailing Address (Initial Record) January 10, 2020

Registered at 18115 ANDREA CIR N UNIT 1, NORTHRIDGE, CA 913251111 (Tel: 8184621168)

πŸ‘€
Provider Name / Credentials (Initial Record) January 10, 2020

Recorded as DANIEL WAGNER, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2020

Behavior Analyst (license number reported to NPPES: None 1-19-39963)

🟒
Initial NPI Registration & Enumeration January 10, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164062741
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2020
Last Update: August 20, 2025
Sole Proprietor: No

Mailing Address

6405 Old Main Hill

Logan, UT 843226405

Phone: 8184621168

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.