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Brenna Wagner, MSC, BCBA, LBA
NPI 1043795040 · on the registry since 2018 · sole proprietor
Practice
- Address
- 88 E 1000 N
Tooele, UT 84074 - Phone
- (435) 249-0934
- Organisation at this address
- Behave, Educate, And Engage Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 515 S 700 E Ste 2a, Salt Lake City, UT
- 1311 Country Ln, Erda, UT
- 1363 Country Ln, Erda, UT
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106E00000X
106S00000X - Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah