Dawn Wetzel, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-49300 Issued in CA

Practice address

600 Pennsylvania Ave Unit 30
Los Gatos, CA 95030-5860

Phone

(408) 649-7349

NPI assigned

May 20, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spotlight Therapy, Inc.

  • Community/Behavioral Health Agency
  • Los Gatos, CA
  • NPI 1376092742
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1124693429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 SCOTTS VALLEY DR UNIT 2",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663443",
            "telephone_number": "831-539-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PENNSYLVANIA AVE UNIT 30",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305860",
            "telephone_number": "408-649-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "DAWN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-49300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breena Marie Wescott, MA
• Bradley Russell West, N.D.
• Reardon Clinton West III, M.D.
• Madillene Western
• Natalie Weston
• George Whang, D.O.
• White Oaks Pediatric Dentistry
• Maurice White
• Siena Elizabeth Whitham, PH.D.
• Diana Marie Wieckowicz, MFT

• Behavior Analyst in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.