NPI 1174224844
Lincoln Edward Wagner, MABCBALBA
Practice location
- Address
- 11731 S Canberra Dr, Sandy, UT 84094-5694
- Phone
- (325) 642-8586
- Fax
- (801) 758-3633
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1174224844
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Mar 2023
- Record last updated
- 14 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.