What is Kassidy Wagner's NPI number?

Kassidy Wagner's National Provider Identifier (NPI) is 1376197723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kassidy Wagner's specialty?

Kassidy Wagner is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Kassidy Wagner located?

Kassidy Wagner's practice location on file with NPPES is 449 S Fitness Pl, Eagle, ID 83616-6828.

What is Kassidy Wagner's phone number?

The practice phone number listed in the NPPES registry for Kassidy Wagner is (208) 957-6301.

Is Kassidy Wagner's NPI active?

Yes — Kassidy Wagner's NPI (1376197723) is active in the NPPES registry as of the last update on 2023-12-21.

IndividualActive

Kassidy Wagner, BCBA

NPI 1376197723 · Behavior Analyst · Eagle, ID

Kassidy Wagner, BCBA is a Behavior Analyst provider in Eagle, ID (NPI 1376197723).

Provider details

NPI number: 1376197723
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Credential: BCBA
Sex: Female
Sole proprietor: No
License: 1-23-68300 (ID)

Specialties & taxonomies

Behavior AnalystPrimary103K00000XLicense 1-23-68300 (ID)
Behavioral Health & Social Service Providers

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 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

449 S Fitness Pl

Eagle, ID 83616-6828

Phone: (208) 957-6301

Fax: (208) 228-0585

Street-level locationGet directions

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Mailing address