DERIC RYAN KETTWIG
NPI 1508581794
Behavior Technician in Costa Mesa, CA

Active since October 10, 2022
3151 AIRWAY AVE STE P3, COSTA MESA, CA 92626(949) 694-7172 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deric Ryan Kettwig NPPES

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

DERIC RYAN KETTWIG (NPI 1508581794) is an individual behavior technician in Costa Mesa, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1508581794
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameDERIC RYAN KETTWIG
Location Address3151 AIRWAY AVE STE P3Costa Mesa, CA 92626-4626
Mailing Address378 N 475 WValparaiso, IN 46385-9228 · (317) 496-5287
Sole ProprietorNo
Enumeration DateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
NPI 1508581794 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.
3151 AIRWAY AVE STE P3, Costa Mesa, CA 92626

Other Providers at the Same Location NPPES 9

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

Psychiatric Residential Treatment Facility
3151 AIRWAY AVE STE P3
COSTA MESA, CA 92626
Health and Wellness Coach
3151 AIRWAY AVE STE P3
COSTA MESA, CA 92626
Behavior Technician
3151 AIRWAY AVE STE P3
COSTA MESA, CA 92626
Community/Behavioral Health
3151 AIRWAY AVE STE P3
COSTA MESA, CA 92626
Community Based Residential Treatment Facility, Mental Illness
3151 AIRWAY AVE STE P3
COSTA MESA, CA 92626
Counselor (Professional)
3151 AIRWAY AVE STE P3
COSTA MESA, CA 92626
Counselor (Mental Health)
3151 AIRWAY AVE STE P3
COSTA MESA, CA 92626
Licensed Vocational Nurse
3151 AIRWAY AVE STE P3
COSTA MESA, CA 92626

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 Deric Kettwig's NPI number?

The NPI number for Deric Kettwig is 1508581794. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Deric Kettwig located?

Deric Kettwig practices at 3151 Airway Ave Ste P3, Costa Mesa, CA 92626. The listed phone number is (949) 694-7172.

What is Deric Kettwig'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 Deric Kettwig was last updated on October 10, 2022. 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.