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

Jacob Robert Wagman

Individual provider Behavior Analyst · NPI 1730740598

Jacob Robert Wagman is a Behavior Analyst in Columbia, Maryland. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

10015 Old Columbia Rd
Columbia, MD 21046-1703
Phone: (443) 741-8788
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1730740598
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

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