KELLY M WETZEL (NPI# 1881227353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881227353 |
| Entity Type | Individual |
| Full Name | KELLY M WETZEL |
| Practice Address |
5408 Piute Way Antioch CA 94531-9023 |
| Practice Telephone | 9256428279 |
| Mailing Telephone | 9256428279 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407079171 | Kelly D Wetzel | Counselor | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2007-04-11 |
| Street Address |
5408 PIUTE WAY |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-9023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1508470337 | Shannon Jacob | Behavior Technician | 2008 Mangrove Way, Antioch, CA 94509-9370 | 2020-08-31 |
| 1861001109 | Claudine Keshia Guerrier | Behavior Technician | 3305 Canim Ct, Antioch, CA 94509-5916 | 2020-07-23 |
| 1336788454 | Isabela Guadalupe Correa | Behavior Technician | 4320 Folsom Dr, Antioch, CA 94531-8211 | 2020-01-06 |
| 1982241337 | Jacquelyn Haller | Behavior Technician | 2345 Cypress St, Antioch, CA 94509-5247 | 2019-12-04 |
| 1851934632 | Jerrico Balingit Lopez | Behavior Technician | 2088 Beechwood Way, Antioch, CA 94509-9368 | 2019-10-23 |
| 1275183345 | Brizeida Soto Lopez | Behavior Technician | 1781 Vineyard Dr, Antioch, CA 94509-8552 | 2019-09-19 |
| 1427608868 | Teressa Ann Cole | Behavior Technician | 2708 Joshua Ct, Antioch, CA 94509-7764 | 2019-09-18 |
| 1326695172 | Brandaizha Necole Dunn | Behavior Technician | 1113 Prewett Ranch Dr, Antioch, CA 94531-8095 | 2019-08-26 |
| 1871148320 | Jonah Mai Abad Gacayan | Behavior Technician | 3100 Delta Fair Blvd # 3104, Antioch, CA 94509-4001 | 2019-08-01 |
| Find all providers in ANTIOCH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.