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

Shannon Lee Wagner

Individual provider Behavior Technician · NPI 1225686538

Shannon Lee Wagner is a Behavior Technician in Manchester, Connecticut. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

203 Union St
Manchester, CT 06042-1938
Phone: (860) 455-3629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1225686538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2019
Last updated in NPPESAugust 29, 2019

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