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

Tara Wagner

Individual provider Behavior Technician · NPI 1891675211

Tara Wagner is a Behavior Technician in Laramie, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2025

Practice location Address checks out

1575 N 4th St Ste 105
Laramie, WY 82072-2091
Phone: (307) 212-3284
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 25-468961 (WY)

Record details

NPI number1891675211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 5, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address2353 N 9th St Lot A107, Laramie, WY 82072-1608

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