IndividualActive
Breanna Wagner
NPI 1649935883 · Behavior Technician · Hermantown, MN
Breanna Wagner is a Behavior Technician provider in Hermantown, MN (NPI 1649935883).
Provider details
- NPI number
- 1649935883
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4140 Richard Ave Ste 200
Hermantown, MN 55811-3309
Phone: (218) 514-5230
Approximate (ZIP-level) locationGet directions
Mailing address
618 Cumming Ave
Superior, WI 54880-1150
Registry dates
- Enumerated
- 2021-11-02
- Last updated
- 2021-11-02
- Certified
- 2021-11-02
Frequently asked questions
- What is Breanna Wagner's NPI number?
- Breanna Wagner's National Provider Identifier (NPI) is 1649935883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Breanna Wagner's specialty?
- Breanna Wagner is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Breanna Wagner located?
- Breanna Wagner's practice location on file with NPPES is 4140 Richard Ave Ste 200, Hermantown, MN 55811-3309.
- What is Breanna Wagner's phone number?
- The practice phone number listed in the NPPES registry for Breanna Wagner is (218) 514-5230.
- Is Breanna Wagner's NPI active?
- Yes — Breanna Wagner's NPI (1649935883) is active in the NPPES registry as of the last update on 2021-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.