Active NPI
Skylar Ray Wagner
- Behavior Technician
- Asheboro, NC
National Provider Identifier
1114840428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 000033390558
- Practice address
- 616 Albemarle Rd Ste B
Asheboro, NC 27203-6259 - Phone
- (336) 953-7049
- NPI assigned
- Aug 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 000033390558 | NC | Primary |
Addresses
Primary practice location
616 Albemarle Rd Ste B
Asheboro, NC 27203-6259
Mailing address
616 Albemarle Rd Ste B
Asheboro, NC 27203-6259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1114840428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 ALBEMARLE RD STE B",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272036259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 ALBEMARLE RD STE B",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272036259",
"telephone_number": "336-953-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "SKYLAR",
"middle_name": "RAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "000033390558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.