IndividualActive
Amy Wagner, ED.S., BCABA
NPI 1114183357 · Behavior Analyst · Gibsonton, FL
Provider details
- NPI number
- 1114183357
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- ED.S., BCABA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% 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
9402 Bullfrog Ct
Gibsonton, FL 33534-5100
Phone: (813) 335-8296
Fax: (813) 671-4645
Street-level locationGet directions
Mailing address
Po Box 1275
Riverview, FL 33568-1275
Registry dates
- Enumerated
- 2008-08-06
- Last updated
- 2010-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.