SANDRA WIEDERKEHR


Address: 1710 S Amphlett Blvd Ste 220, San Mateo, CA 94402-2705
Phone: 6509316300

SANDRA WIEDERKEHR (NPI# 1821657768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821657768
Entity Type Individual
Full Name SANDRA WIEDERKEHR
Practice Address 1710 S Amphlett Blvd Ste 220
San Mateo
CA 94402-2705
Practice Telephone 6509316300
Mailing Telephone 6509316300
Enumeration Date 2019-06-12
Last Update Date 2019-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 1710 S AMPHLETT BLVD STE 220
City SAN MATEO
State CA
Zip Code 94402-2705

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154227 Mark Cameron Head Non-emergency Medical Transport (VAN) 331 Sonora Drive, San Mateo, CA 94402 2020-11-06
1669032868 County of San Mateo Clinic/Center 222 Paul Scannell Dr., San Mateo, CA 94402 2019-06-19
1417443755 Suen Leung Counselor 800 Edinburgh St, San Mateo, CA 94402 2018-07-10
1760997902 Blue Lotus Connection Point of Service 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 2017-12-11
1982122503 Madeline Pielert Social Worker 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 2017-09-04
1629512348 Travis Woodmansee Marriage & Family Therapist 419 S El Dorado St, San Mateo, CA 94402 2016-12-14
1669820858 Mohan Sundareson Pediatrics 1638 South Grant St, San Mateo, CA 94402 2016-05-27
1457712572 New Life Acupuncture Clinic Acupuncturist 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 2016-03-17
1871951434 Nanami Oba Physical Therapy Assistant 20 Bennigton Dr., San Mateo, CA 94402 2016-02-10
1780059733 Adrianna Cimera Behavioral Analyst 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 2015-12-02
Find all providers in zip 94402

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy 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.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556242 Elizabeth Veach Behavior Technician 631 S B St, San Mateo, CA 94401-4120 2020-10-22
1841800760 Monica Marie Rivas Behavior Technician 429 Peninsula Avenue, San Mateo, CA 94401 2020-08-05
1063069474 Michele Ann Howes Behavior Technician 38 Creekridge Ct, San Mateo, CA 94402-3753 2019-08-20
1093284416 Gillyflower Lucinda Coomes-poultney Behavior Technician 110 S Quebec St, San Mateo, CA 94401-2037 2018-11-14
1518436104 Erick Russell Bowman Jr. Behavior Technician 800 S Claremont St Unit 100, San Mateo, CA 94402-1451 2018-11-13
1013403401 Dominique A Negrette Behavior Technician 424 Peninsula Ave # 2864396, San Mateo, CA 94401-1653 2018-07-09
1952802019 Alicia Cabral I Behavior Technician 800 S Claremont St Ste 108, San Mateo, CA 94402-1449 2018-02-23
1225639016 Neha Kumar Behavior Technician 424 Peninsula Ave, San Mateo, CA 94401-1653 2020-11-06
1326649591 Leo Aldair Maldonado-canales Behavior Technician 424 Peninsula Ave, San Mateo, CA 94401-1653 2020-11-04
1891396149 Siyun Deng Behavior Technician 424 Peninsula Ave, San Mateo, CA 94401-1653 2020-11-03
Find all providers in SAN MATEO

Competitor

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City SAN MATEO
Zip Code 94402

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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