Wagner, Shelby Fox

Wagner, Shelby Fox is an individual health care provider with primary practice located at 12110 Port Grace Blvd Ste 101 , La Vista NE 68128-3190. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wagner, Shelby Fox can be contacted via phone (402) 618-8684.

Contact Information

Primary practice address
12110 Port Grace Blvd Ste 101 La Vista NE 68128-3190
Phone: (402) 618-8684
Fax: (402) 925-3936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0225 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4634 Nebraska

Profile Details

NPI number 1134692528
LBN Legal business name Wagner, Shelby Fox
Credentials LIMHP, LBA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2019
Last updated Sep 14th, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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