Karen R Wagner, PH D, BCBA-D, PHD

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

550 Solutions Way
Rockledge, FL 32955-3620

Phone

(321) 639-9800

Fax

(321) 639-6007

NPI assigned

Oct 22, 2008

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Behavior Services of Brevard County

  • Behavior Analyst
  • Rockledge, FL
  • NPI 1750828323
  NPD Authorized official
• Behavior Services of Brevard, Inc.

  dba Behavior Education Center

  • Behavior Analyst
  • Rockledge, FL
  • NPI 1548464423
  NPD Authorized official

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1184876096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SOLUTIONS WAY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553620",
            "telephone_number": "321-639-9800",
            "fax_number": "321-639-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SOLUTIONS WAY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553620",
            "telephone_number": "321-639-9800",
            "fax_number": "321-639-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KAREN",
        "middle_name": "R",
        "credential": "PH D, BCBA-D, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7979",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019422900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Vogt, PA
• VS Primo Health Care P a
• Rachel Ann Wade
• Shirlene Wade
• Zandra Wade
• Walgreen Co (Walgreens #06181)
• Walgreen Co (Walgreens #04378)
• Walgreen Co (Walgreens #06797)
• Shelia Walker
• Janice Waltemeyer

• Behavior Analyst in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.