Mrs. Kassidy Diane Wagner, BCBA
Mrs. Kassidy Diane Wagner is a Behavior Analyst provider (Behavior Analyst) practicing in Eagle, ID, registered in the NPPES registry with NPI 1376197723 since 2019.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376197723 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mrs. Kassidy Diane Wagner |
| Credential | BCBA |
| Sex | Female |
| Practice address | 449 S FITNESS PL, Eagle, ID, 83616 |
| Phone | 2089576301 |
| Fax | 2082280585 |
| Enumeration date | 2019-07-24 |
| Last updated in NPPES | 2023-12-21 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | Primary | 1-23-68300 | ID |
Copy-ready billing details
Provider: Kassidy Wagner, BCBA NPI: 1376197723 Taxonomy: 103K00000X (Behavior Analyst) Address: 449 S FITNESS PL, Eagle, ID, 83616
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467781161 | Kari Thompson | Individual | Pediatric Occupational Therapist | Eagle, ID |
| 1225449085 | Ot 4 Kidz, Inc | Organization | Occupational Therapist | Eagle, ID |
| 1386002202 | Lori Coate | Individual | Occupational Therapy Assistant | Eagle, ID |
| 1619335502 | Wkl Edgerly | Individual | Occupational Therapy Assistant | Eagle, ID |
| 1902264880 | Jessica Hill | Individual | Occupational Therapy Assistant | Eagle, ID |
| 1447618368 | Rachel Harrington | Individual | Occupational Therapy Assistant | Eagle, ID |
| 1487012233 | Rebecca Cook | Individual | Occupational Therapy Assistant | Eagle, ID |
| 1821457367 | Patricia Murray | Individual | Occupational Therapy Assistant | Eagle, ID |
Verify this record
Cross-check NPI 1376197723 against the authoritative CMS record: view Mrs. Kassidy Diane Wagner on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-12-21.