What is Jackson Wagus's NPI number?

Jackson Wagus's National Provider Identifier (NPI) is 1639753452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jackson Wagus's specialty?

Jackson Wagus is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jackson Wagus located?

Jackson Wagus's practice location on file with NPPES is 17810 Meeting House Rd Ste 100, Sandy Spring, MD 20860-1039.

What is Jackson Wagus's phone number?

The practice phone number listed in the NPPES registry for Jackson Wagus is (240) 342-2666.

Is Jackson Wagus's NPI active?

Yes — Jackson Wagus's NPI (1639753452) is active in the NPPES registry as of the last update on 2021-05-07.

IndividualActive

Jackson Wagus

NPI 1639753452 · Behavior Technician · Sandy Spring, MD

Jackson Wagus is a Behavior Technician provider in Sandy Spring, MD (NPI 1639753452).

Provider details

NPI number: 1639753452
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(56/100 index)

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

Registry tenure38% of score
5 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

17810 Meeting House Rd Ste 100

Sandy Spring, MD 20860-1039

Phone: (240) 342-2666

Street-level locationGet directions

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Mailing address