Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164062741 Individual Practitioner Male Practitioner

Daniel Jacob Wagner , BCBA

Behavior Analyst • Logan, UT

Professional Overview & Biography Verified Profile Summary

Daniel Wagner, BCBA is a registered healthcare professional specializing in Behavior Analyst in Logan, UT. Practice services are available at 6405 OLD MAIN HILL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6405 Old Main Hill

Logan, UT 843223511

Telephone 4357973403
Associated Practice Facility / Clinic
🏢 Utah State University Facility NPI 1447715701

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Logan, UT (1046 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: 2025-08-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License UT 14004096-2506

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

9 Associated Practitioners
Daria Fuell

Behavior Technician

NPI 1033839121
Maryn Van Tassell

Behavior Technician

NPI 1366168627
Autumn Abbott

Social Worker - Clinical

NPI 1376116319
Alyssa Hurd

Behavior Technician

NPI 1477066975
NPI 1588056907

Board Certified Behavior Analyst - Doctoral

Samantha Nercesian , RBT

Behavior Technician

NPI 1871261586

Registered Behavior Technician

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 20, 2025

Registered at 6405 OLD MAIN HILL, LOGAN, UT 843223511 (Tel: 4357973403)

📍
Updated Business Mailing Address August 20, 2025

Registered at 6405 OLD MAIN HILL, LOGAN, UT 843226405 (Tel: 8184621168)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2025

Behavior Analyst (License #14004096-2506 in UT)

NPI Profile Active January 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2020

Registered at 14724 VENTURA BLVD STE 1110, SHERMAN OAKS, CA 914033511 (Tel: 8185014240)

📍
Updated Business Mailing Address January 10, 2020

Registered at 18115 ANDREA CIR N UNIT 1, NORTHRIDGE, CA 913251111 (Tel: 8184621168)

👤
Provider Name / Credentials Updated January 10, 2020

Recorded as DANIEL WAGNER, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2020

Behavior Analyst (License #1-19-39963 in None)

🟢
Initial NPI Registration & Enumeration January 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164062741
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2020
Last Update: August 20, 2025
Sole Proprietor: No

Mailing Address

6405 Old Main Hill

Logan, UT 843226405

Phone: 8184621168

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.