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

MS. Maxine Wagner, CDCA

Individual provider Behavior Technician · NPI 1104317536

MS. Maxine Wagner, CDCA is a Behavior Technician in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

732 Beckman St
Dayton, OH 45410-2165
Phone: (937) 853-3328
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 163681 (OH)

Record details

NPI number1104317536
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedMay 22, 2018
Last updated in NPPESJune 16, 2018
Mailing address2219 Ravenwood Ave, Dayton, OH 45406-2834

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