IndividualActive
Brenna Wagner, MSC, BCBA, LBA
NPI 1043795040 · Behavior Analyst · Tooele, UT
Provider details
- NPI number
- 1043795040
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- MSC, BCBA, LBA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11353635-2507 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
88 E 1000 N
Tooele, UT 84074-9693
Phone: (435) 249-0934
Street-level locationGet directions
Mailing address
1311 Country Ln
Erda, UT 84074-9799
Additional practice locations (3)
- 1311 Country LnErda, UT 84074-9799Phone: (435) 840-8166
- 1363 Country LnErda, UT 84074-9799Phone: (435) 840-8166
- 515 S 700 E Ste 2aSalt Lake City, UT 84102-2855Phone: (801) 935-4171
Registry dates
- Enumerated
- 2018-09-26
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.