KELLY M WETZEL


Address: 5408 Piute Way, Antioch, CA 94531-9023
Phone: 9256428279

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers KELLY WETZEL

NPI Name Taxonomy Address Enumeration
1407079171 Kelly D Wetzel Counselor 122 Langley Road North, Suite B, Glen Burnie, MD 21060 2007-04-11

Office Location

Street Address 5408 PIUTE WAY
City ANTIOCH
State CA
Zip Code 94531-9023

Providers in the same zip code

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 Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ANTIOCH
Zip Code 94531

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Dataset Information

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.

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