Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Wagner

Individual provider Behavior Technician · NPI 1124726633

Benjamin Wagner is a Behavior Technician in Lake Oswego, Oregon. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

412 Jefferson Pkwy Ste 202
Lake Oswego, OR 97035-1252
Phone: (888) 428-3223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1124726633
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010-3537

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