Search › Nebraska › 103K00000X

Shelby Wagner, BCBA, LBA

NPI 1134692528 · on the registry since 2019 · sole proprietor

Practice

Address
613 N. 204th Ave
Elkhorn, NE 68022
Phone
(402) 800-8784

Additional practice sites

  • 2829 N 90th St, Omaha, NE

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
103K00000X
106S00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-03

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 Nebraska