KELLY WIEDMANN
NPI 1508432675
Behavior Technician in California, MD

Active since May 31, 2021
22593 THREE NOTCH RD, CALIFORNIA, MD 20619(301) 862-2505 Get Directions Write a Review

NPPES record last updated: May 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Wiedmann NPPES

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

KELLY WIEDMANN (NPI 1508432675) is an individual behavior technician in California, Maryland and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1508432675
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKELLY WIEDMANN
Location Address22593 THREE NOTCH RDCalifornia, MD 20619-3054
Mailing Address22593 Three Notch RdCalifornia, MD 20619-3054 · (301) 862-2505
Sole ProprietorNo
Enumeration DateMay 31, 2021
NPPES CertifiedMay 31, 2021
NPI 1508432675 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.

22593 THREE NOTCH RD, California, MD 20619

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Physical Therapy Assistant
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Speech-Language Pathologist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Occupational Therapist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Occupational Therapy Assistant
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Physical Therapy Assistant
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Speech-Language Pathologist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Speech-Language Pathologist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Physical Therapist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Behavior Analyst
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Behavior Analyst
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Occupational Therapist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Behavior Analyst
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Behavior Analyst
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Speech-Language Pathologist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Specialist/Technologist (Speech-Language Assistant)
22593 THREE NOTCH RD, APT 111
CALIFORNIA, MD 20619
Psychologist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Speech-Language Pathologist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Occupational Therapist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
Physical Therapist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508432675, enumerated as an "individual" on May 31, 2021.

The provider is located at 22593 THREE NOTCH RD CALIFORNIA, MD 20619 and the phone number is (301) 862-2505.

Behavior Technician with taxonomy code 106S00000X.