IndividualActive
Maxine Wagner, CDCA
NPI 1104317536 · Behavior Technician · Dayton, OH
Maxine Wagner, CDCA is a Behavior Technician provider in Dayton, OH (NPI 1104317536).
Provider details
- NPI number
- 1104317536
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- No
- License
- 163681 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
732 Beckman St
Dayton, OH 45410-2165
Phone: (937) 853-3328
Street-level locationGet directions
Mailing address
2219 Ravenwood Ave
Dayton, OH 45406-2834
Registry dates
- Enumerated
- 2018-05-22
- Last updated
- 2018-06-16
Frequently asked questions
- What is Maxine Wagner's NPI number?
- Maxine Wagner's National Provider Identifier (NPI) is 1104317536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maxine Wagner's specialty?
- Maxine Wagner is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Maxine Wagner located?
- Maxine Wagner's practice location on file with NPPES is 732 Beckman St, Dayton, OH 45410-2165.
- What is Maxine Wagner's phone number?
- The practice phone number listed in the NPPES registry for Maxine Wagner is (937) 853-3328.
- Is Maxine Wagner's NPI active?
- Yes — Maxine Wagner's NPI (1104317536) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.