Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609415819 Individual Practitioner Female Practitioner

Miranda M Wagner

Behavior Analyst • Choctaw, OK

Professional Overview & Biography Verified Profile Summary

Miranda Wagner is a registered healthcare professional specializing in Behavior Analyst in Choctaw, OK. Practice services are available at 15809 NE 23RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15809 Ne 23rd St

Choctaw, OK 730208428

Telephone 4052811040
Associated Practice Facility / Clinic
🏢 Bruce A. Stafford, Do, Pc Facility NPI 1639267362

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Choctaw, OK

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

Practicing in Choctaw, OK (1840 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: 2026-07-17
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License OK 19109513

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.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Nathan Unruh , BCBA

Behavior Analyst

NPI 1083391254

Board Certified Behavior Analyst

Candace Schell

Behavior Analyst

NPI 1093558538
Courtli Flatt

Behavior Technician

NPI 1144061813
Baylee Rooks

Behavior Technician

NPI 1295585776
Mykayla Matlock

Behavior Technician

NPI 1356110381
Jennifer Miller , BCBA

Behavior Analyst

NPI 1467937359

Board Certified Behavior Analyst

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 17, 2026

Registered at 15809 NE 23RD ST, CHOCTAW, OK 730208428 (Tel: 4052811040)

📍
Updated Business Mailing Address July 17, 2026

Registered at 3903 N HARRISON ST, SHAWNEE, OK 748041426

📍
Updated Practice Location December 31, 2025

Registered at 146 SW 134TH ST, MOORE, OK 731701488 (Tel: 4052659324)

📍
Updated Business Mailing Address December 31, 2025

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

NPI Profile Active January 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2020

Registered at 13404 N MERIDIAN AVE, OKLAHOMA CITY, OK 731208311 (Tel: 4057522264)

📍
Updated Business Mailing Address January 06, 2020

Registered at 13404 N MERIDIAN AVE, OKLAHOMA CITY, OK 731208311 (Tel: 4057522264)

👤
Provider Name / Credentials Updated January 06, 2020

Recorded as MIRANDA WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2020

Behavior Analyst (License #19109513 in OK)

🟢
Initial NPI Registration & Enumeration January 06, 2020

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: 1609415819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2020
Last Update: July 17, 2026
Sole Proprietor: No

Mailing Address

3903 N Harrison St

Shawnee, OK 748041426

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.