Daniel Jacob Wagner, BCBA
Behavior Analyst · Logan, UT
Practice location
6405 Old Main HillLogan, UT 84322-3511
- Phone
- (435) 797-3403
NPI record
- NPI
- 1164062741
- Entity type
- Individual (Type 1)
- Enumeration date
- January 10, 2020
- Last updated
- August 20, 2025
- Certified
- August 20, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
14004096-2506 | UT |
Mailing address
6405 Old Main HillLogan, UT 84322-6405
- Phone
- (818) 462-1168
About Daniel Wagner
Daniel Jacob Wagner, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 6405 Old Main Hill, Logan, UT 84322-3511. The NPI number 1164062741 was assigned on January 10, 2020 and the record was last updated on August 20, 2025.
Daniel Wagner lists a license in the registry: #14004096-2506 (UT) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Daniel Jacob Wagner, BCBA?
The NPI number is 1164062741.
What is the phone number of Daniel Wagner?
The phone number listed for the practice location is (435) 797-3403.
Where is Daniel Wagner located?
6405 Old Main Hill, Logan, UT 84322-3511.
What is the taxonomy code for Daniel Wagner?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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