Lincoln Edward Wagner, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

14279645-2506 Issued in UT

Practice address

11731 S Canberra Dr
Sandy, UT 84094-5694

Phone

(325) 642-8586

Fax

(801) 758-3633

NPI assigned

Mar 10, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspen ABA LLC

  • Behavior Analyst
  • Sandy, UT
  • NPI 1770353385
  NPD (past)
• Utah Autism Academy

  • Developmentally Disabled Services Day Training Agency
  • Midvale, UT
  • NPI 1972934537
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1174224844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11731 S CANBERRA DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945694",
            "telephone_number": "325-642-8586",
            "fax_number": "801-758-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11731 S CANBERRA DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945694",
            "telephone_number": "325-642-8586",
            "fax_number": "801-758-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LINCOLN",
        "middle_name": "EDWARD",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-10",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "14279645-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Cristina Voss, MS OTR/L
• Kirk Voss, L.M.F.T.
• Christina Alexandra Vrontikis
• Jeffrey Wade
• Jason Robert Wagner, CMHC
• Emma Grace Wagstaff, RD
• Brent Eschler Wainwright, LICENSED PROFESSIONA
• Nicole Wakefield, M.A., BCBA, LBA
• Wal-Mart Stores, Inc. Dba Wal-Mart (Vision Center 30-5235)
• Natalie M. Walch, LPC

• Behavior Analyst in Sandy, UT
• Providers in Sandy, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.