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

Dejanae Tianna Wagner

Individual provider Behavior Technician · NPI 1932040433

Dejanae Tianna Wagner is a Behavior Technician in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

20700 Civic Center Dr
Southfield, MI 48076-4140
Phone: (800) 385-1035
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 256139793182 (MI)

Record details

NPI number1932040433
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

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