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Brenna Lyn Wagner , MSC, BCBA, LBA

Behavior Analyst β€’ Tooele, UT

Active NPI 1043795040 Individual Practitioner Female Practitioner
Practice location in NPPES

88 E 1000 N
Tooele, UT 840749693

Call 4352490934 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

88 E 1000 N

Tooele, UT 840749693

Telephone 4352490934
Organization at the Same NPPES Address or Phone
Behave, Educate, And Engage Llc Facility NPI 1164132411

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 3 distinct additional practice-address records in Erda, UT; Salt Lake City, UT. 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 Tooele and Utah

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

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

Self-certified to NPPES: 2022-11-28
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES UT 11353635-2507

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

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.

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

Secondary Practice Locations

515 S 700 E Ste 2a

Salt Lake City, UT 841022855

Phone: 8019354171

1311 Country Ln

Erda, UT 840749799

Phone: 4358408166

1363 Country Ln

Erda, UT 840749799

Phone: 4358408166

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location November 28, 2022

Registered at 88 E 1000 N, TOOELE, UT 840749693 (Tel: 4352490934)

πŸ“
Updated Business Mailing Address November 28, 2022

Registered at 1311 COUNTRY LN, ERDA, UT 840749799 (Tel: 4358408166)

πŸ‘€
Provider Name / Credentials Updated November 28, 2022

Recorded as BRENNA WAGNER, MSC, BCBA, LBA

πŸ“
Updated Practice Location July 12, 2019

Registered at 515 S 700 E STE 2A, SALT LAKE CITY, UT 841022855 (Tel: 8019354171)

πŸ‘€
Provider Name / Credentials Updated July 12, 2019

Recorded as BRENNA WAGNER, MSC, BCABA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2019

Assistant Behavior Analyst (license number reported to NPPES: UT 11353635-2507)

βœ…
NPI Profile Active September 26, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 26, 2018

Registered at 1363 COUNTRY LN, ERDA, UT 840749799 (Tel: 4358408166)

πŸ“
Business Mailing Address (Initial Record) September 26, 2018

Registered at 1363 COUNTRY LN, ERDA, UT 840749799 (Tel: 4358408166)

πŸ‘€
Provider Name / Credentials (Initial Record) September 26, 2018

Recorded as BRENNA WAGNER, MSC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration September 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043795040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2018
Last Update: November 28, 2022
Sole Proprietor: Yes

Mailing Address

1311 Country Ln

Erda, UT 840749799

Phone: 4358408166

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.