Ellen Marie Wetekamp, BS
Behavior Analyst in Alhambra, CA. Individual provider (NPI-1).
NPI number1659985166
StatusActive
Last updated in NPPESMar 17, 2025
Details
- NPI
- 1659985166
- Entity type
- Individual (NPI-1)
- Name
- Ellen Marie Wetekamp
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2020
- Certification date
- Mar 17, 2025
- Last updated
- Mar 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | CA | Yes |
| 106S00000X | Behavior Technician | RBT-20-112570 | IN |
Practice location
41 N Garfield Ave Ste 207Alhambra, CA 91801
Phone 626-387-6996 · Fax 626-898-9298
Mailing address
41 N Garfield Ave Ste 207Alhambra, CA 91801-7502
Phone 626-387-6996 · Fax 626-898-9298
Other practice locations
4422 E State Blvd
Fort Wayne, IN 46815-6917
Fort Wayne, IN 46815-6917
Phone 260-471-9263 · Fax 317-520-8200
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