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Tiffany Anne Wagoner, RBT
Behavior Technician in South Bend, Indiana
NPI 1457964728

Tiffany Anne Wagoner is a Behavior Technician based in Indianapolis, IN. Tiffany Anne Wagoner practices in South Bend, IN and has the professional credentials of RBT. The NPI Number for Tiffany Anne Wagoner is 1457964728 and holds a License No. RBT-18-64924 (Indiana).

The current practice location address for Tiffany Anne Wagoner is 17390 Dugdale Dr Ste 100, South Bend, IN and can be reached out via phone at 574-400-2169 and via fax at 317-520-8200.

Location: 17390 Dugdale Dr Ste 100, South Bend, IN, 46268-6135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457964728
Provider Name
Tiffany Anne Wagoner
Credential
RBT
Provider Entity Type
Individual
Gender
Female
Address
17390 Dugdale Dr Ste 100, South Bend, IN, 46268-6135
Phone Number
574-400-2169
Fax Number
317-520-8200
Provider Enumeration Date
08/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17390 Dugdale Dr Ste 100
City
South Bend
State
Indiana
Zip
46635-1512
Phone Number
574-400-2169
Fax Number
317-520-8200
person
Provider Business Mailing Address Details
Address
17390 Dugdale Dr Ste 100
City
South Bend
State
Indiana
Zip
46635-1512
Phone Number
574-400-2169
Fax Number
317-520-8200
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
RBT-18-64924 (Indiana)
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
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