NPI 1003587221

Nicole Wentz, BCBA

Practitioner Behavior Analyst San Jose, CA

Practice location

Address: 6203 San Ignacio Ave, San Jose, CA 95119-1371
Phone: (415) 837-8017
Mailing address: 7108 S Kanner Hwy, Stuart, FL 34997-7462

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence BACB415523 (CA)

Other Behavior Analyst providers in California →

Registry record

NPI: 1003587221
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2021
Record last updated: 27 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.