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WYNN LINDAHL GROTEGUT NPI 1457801979


NPI Information

NPI: 1457801979
Provider Name: WYNN LINDAHL GROTEGUT
Classification: Behavior Technician - 106S00000X
Entity Type: Individual
Address:
39210 STATE ST
FREMONT, CA
ZIP 94538
Phone: (510) 894-4135
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Wynn Lindahl Grotegut is a behavior technician in Fremont, CA. The provider is 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. Wynn Lindahl Grotegut NPI is 1457801979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

39210 STATE ST
FREMONT, CA
ZIP 94538-456
Phone: (510) 894-4135

The enumeration date for this NPI number is 10/7/2016 and was last updated on 1/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106S00000XBehavior Technician46-1305562CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.