Jackson Lee Wagus
Jackson Lee Wagus is a Behavior Technician provider (Behavior Technician) practicing in Sandy Spring, MD, registered in the NPPES registry with NPI 1639753452 since 2021.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639753452 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jackson Lee Wagus |
| Sex | Male |
| Practice address | 17810 MEETING HOUSE RD STE 100, Sandy Spring, MD, 20860 |
| Phone | 2403422666 |
| Enumeration date | 2021-05-07 |
| Last updated in NPPES | 2021-05-07 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | Primary | — | — |
Copy-ready billing details
Provider: Jackson Wagus NPI: 1639753452 Taxonomy: 106S00000X (Behavior Technician) Address: 17810 MEETING HOUSE RD STE 100, Sandy Spring, MD, 20860
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1770196032 | Eric Liddle | Individual | Behavior Technician | Sandy Spring, MD |
| 1891308771 | Kristen Casella | Individual | Behavior Technician | Sandy Spring, MD |
| 1215534169 | Kayleigh Allen | Individual | Occupational Therapist | Sandy Spring, MD |
| 1639777188 | Dareyus Person | Individual | Behavior Technician | Sandy Spring, MD |
| 1871194969 | Allison Albright | Individual | Behavior Technician | Sandy Spring, MD |
| 1902493604 | Maithili Pathak | Individual | Behavior Technician | Sandy Spring, MD |
| 1851988455 | Kollin Miner | Individual | Behavior Analyst | Sandy Spring, MD |
| 1285221622 | Brendon Page | Individual | Behavior Technician | Sandy Spring, MD |
Verify this record
Cross-check NPI 1639753452 against the authoritative CMS record: view Jackson Lee Wagus 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 2021-05-07.