IndividualActive
Paige Wagner
NPI 1235677006 · Behavior Analyst · Beaverton, OR
Provider details
- NPI number
- 1235677006
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10219156 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
16205 Nw Bethany Ct Ste 116
Beaverton, OR 97006-4687
Phone: (503) 860-6525
Approximate (ZIP-level) locationGet directions
Mailing address
5511 Sw Multnomah Blvd
Portland, OR 97219-3269
Registry dates
- Enumerated
- 2017-02-01
- Last updated
- 2022-02-04
- Certified
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.