SEBASTIAN TARO JEWELL-WIERTALLA
NPI 1205522919
Behavior Technician in Grand Rapids, MI

Active since April 14, 2023
120 STEVENS ST SW, GRAND RAPIDS, MI 49507(855) 832-6727 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sebastian Taro Jewell-wiertalla NPPES

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

SEBASTIAN TARO JEWELL-WIERTALLA (NPI 1205522919) is an individual behavior technician in Grand Rapids, Michigan and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1205522919
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameSEBASTIAN TARO JEWELL-WIERTALLA
Location Address120 STEVENS ST SWGrand Rapids, MI 49507-1526
Mailing AddressPo Box 150652Grand Rapids, MI 49515-0652 · (231) 633-9516
Sole ProprietorNo
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
NPI 1205522919 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.
120 STEVENS ST SW, Grand Rapids, MI 49507

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
120 STEVENS ST SW
GRAND RAPIDS, MI 49507
Behavior Technician
120 STEVENS ST SW
GRAND RAPIDS, MI 49507
Behavior Technician
120 STEVENS ST SW
GRAND RAPIDS, MI 49507
Behavior Technician
120 STEVENS ST SW
GRAND RAPIDS, MI 49507
Behavior Technician
120 STEVENS ST SW
GRAND RAPIDS, MI 49507
Behavior Technician
120 STEVENS ST SW
GRAND RAPIDS, MI 49507
Behavior Technician
120 STEVENS ST SW
GRAND RAPIDS, MI 49507
Behavior Technician
120 STEVENS ST SW
GRAND RAPIDS, MI 49507

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 Sebastian Jewell-wiertalla's NPI number?

The NPI number for Sebastian Jewell-wiertalla is 1205522919. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Sebastian Jewell-wiertalla located?

Sebastian Jewell-wiertalla practices at 120 Stevens St SW, Grand Rapids, MI 49507. The listed phone number is (855) 832-6727.

What is Sebastian Jewell-wiertalla'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 Sebastian Jewell-wiertalla was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.