Individual provider · Type 1 NPI

Deric Ryan Kettwig

Behavior Technician · Costa Mesa, CA

NPI number 1508581794 Active

Practice location

3151 Airway Ave Ste P3
Costa Mesa, CA 92626-4626

Call (949) 694-7172 Map

Mailing address

378 N 475 W
Valparaiso, IN 46385-9228

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

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…

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About NPI 1508581794

Deric Ryan Kettwig's National Provider Identifier is 1508581794, issued on Oct 10, 2022. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Oct 10, 2022.