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

Miranda M Wagner

Individual provider Behavior Analyst · NPI 1609415819

Miranda M Wagner is a Behavior Analyst in Choctaw, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020

Practice location Address checks out

15809 NE 23rd St
Choctaw, OK 73020-8428
Phone: (405) 281-1040
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 19109513 (OK)

Record details

NPI number1609415819
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address3903 N Harrison St, Shawnee, OK 74804-1426

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