Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932808573 Individual Practitioner Female Practitioner

Jennifer Waggoner

Behavior Analyst • Plymouth, MN

Professional Overview & Biography Verified Profile Summary

Jennifer Waggoner is a registered healthcare professional specializing in Behavior Analyst in Plymouth, MN. Practice services are available at 3007 HARBOR LN N STE 1200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3007 Harbor Ln N Ste 1200

Plymouth, MN 554475138

Telephone 6124394650

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Plymouth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Plymouth, MN (1398 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MN 1-24-71207

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.

Secondary Practice Locations

17551 Generations Dr

South Bend, IN 466351589

Phone: 5744002169

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ahna Miller

Behavior Technician

NPI 1013693662
Ashley Amaral Merino

Behavior Technician

NPI 1023981727
Sumaya Mohamed

Behavior Technician

NPI 1033902911
Ashley Herfendal

Behavior Technician

NPI 1053063826
Madison Davis

Behavior Technician

NPI 1073336053
Lily Soderholm

Behavior Technician

NPI 1093523375

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2024

Behavior Analyst (License #1-24-71207 in MN)

📍
Updated Practice Location November 27, 2023

Registered at 3007 HARBOR LN N STE 1200, PLYMOUTH, MN 554475138 (Tel: 6124394650)

📍
Updated Business Mailing Address November 27, 2023

Registered at 3007 HARBOR LN N STE 1200, PLYMOUTH, MN 554475138 (Tel: 6124394650)

👤
Provider Name / Credentials Updated November 27, 2023

Recorded as JENNIFER WAGGONER

NPI Profile Active March 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2023

Registered at 1081 OAK ST STE 3, PITTSTON, PA 186403716 (Tel: 8887264774)

📍
Updated Business Mailing Address March 02, 2023

Registered at 9 BANKS AVE, MCADOO, PA 182372508 (Tel: 5709313850)

👤
Provider Name / Credentials Updated March 02, 2023

Recorded as JENNIFER BAIL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2023

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 02, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932808573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2023
Last Update: May 20, 2025
Sole Proprietor: No

Mailing Address

3007 Harbor Ln N Ste 1200

Plymouth, MN 554475138

Phone: 6124394650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.