Ashley Wagner, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

01197 Issued in OH

Practice address

5885 Landerbrook Dr Ste 310
Mayfield Heights, OH 44124-4031

Phone

(216) 446-2944

Fax

(315) 306-3610

NPI assigned

Mar 5, 2020

Last updated

Jun 21, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Frazier Behavioral Health LLC

  • Behavior Analyst
  • Mayfield Heights, OH
  • NPI 1669015335
  NPD

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1508491044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 LANDERBROOK DR STE 310",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244031",
            "telephone_number": "216-446-2944",
            "fax_number": "315-306-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 LANDERBROOK DR STE 310",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244031",
            "telephone_number": "216-446-2944",
            "fax_number": "315-306-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ASHLEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "01197",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "19-105958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Liza Vishny, MD
• Halyna Vladkovska
• Patricia Vogel, APRN
• Juliana Ellen Voinovich, MSN, APRN, FNP-C
• Kayla Vongunten, APRN.CNP
• Kyla Wagner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5083)
• Wal-Mart Stores East, LP (Vision Center 30-5083)
• Jeanne E Walker, MSN, CRNP
• Brittany Marie Walsh-Reed, PHARMD

• Behavior Analyst in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.