Daniel Jacob Wagner, BCBA

NPI #1164062741 in Logan, Utah

Provider Information

NPI Number: 1164062741
Entity Type: Individual
Name: Daniel Jacob Wagner, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 10, 2020
Last Updated: Aug 20, 2025

Practice Location

Address: 6405 OLD MAIN HILL
City: Logan
State: Utah
ZIP Code: 84322-3511
Phone: (435) 797-3403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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