WYATT FETROW
NPI 1013874080
Behavior Technician in Elkhorn, NE

Active since January 09, 2026
20010 MANDERSON ST STE 104, ELKHORN, NE 68022(972) 777-1331 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wyatt Fetrow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYATT FETROW (NPI 1013874080) is an individual behavior technician in Elkhorn, Nebraska and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1013874080
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameWYATT FETROW
Location Address20010 MANDERSON ST STE 104Elkhorn, NE 68022-1264
Mailing Address20010 Manderson St Ste 104Elkhorn, NE 68022-1264 · (972) 777-1331
Sole ProprietorYes
Enumeration DateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
NPI 1013874080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.

20010 MANDERSON ST STE 104, Elkhorn, NE 68022

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
20010 MANDERSON ST STE 104
ELKHORN, NE 68022
Behavior Technician
20010 MANDERSON ST STE 104
ELKHORN, NE 68022
Behavior Technician
20010 MANDERSON ST STE 104
ELKHORN, NE 68022
Behavior Technician
20010 MANDERSON ST STE 104
ELKHORN, NE 68022
Behavior Technician
20010 MANDERSON ST STE 104
ELKHORN, NE 68022
Behavior Technician
20010 MANDERSON ST STE 104
ELKHORN, NE 68022
Behavior Technician
20010 MANDERSON ST STE 104
ELKHORN, NE 68022
Behavior Technician
20010 MANDERSON ST STE 104
ELKHORN, NE 68022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyatt Fetrow's NPI number?

The NPI number for Wyatt Fetrow is 1013874080. It was assigned to this individual provider in the NPPES registry on January 9, 2026.

Where is Wyatt Fetrow located?

Wyatt Fetrow practices at 20010 Manderson St Ste 104, Elkhorn, NE 68022. The listed phone number is (972) 777-1331.

What is Wyatt Fetrow's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Wyatt Fetrow was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.