Wickett Behavioral Solutions

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-05-2207 Issued in CA

Legal business name

WICKETT BEHAVIORAL SOLUTIONS

Practice address

6515 Sandy Point CT
Rancho Palos Verdes, CA 90275-5871

Phone

(818) 437-0378

Fax

(877) 258-0470

NPI assigned

Mar 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Corinne Elizabeth Wickett, PH.D.NPI 1669721254

Title

Executive Director

Phone

(818) 437-0378

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corinne E.D. Wickett

  • Behavior Analyst
  • Rancho Palos Verdes, CA
  • NPI 1669721254
  NPD (past) Authorized official
• Kim Naomi Swanson, RBT

  • Behavior Technician
  • Rancho Palos Verdes, CA
  • NPI 1770086381
  NPD (past)

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1174064174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 SANDY POINT CT",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755871",
            "telephone_number": "818-437-0378",
            "fax_number": "877-258-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 SANDY POINT CT",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755871",
            "telephone_number": "818-437-0378",
            "fax_number": "877-258-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKETT BEHAVIORAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "WICKETT",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-437-0378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-05-2207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Gmur Warner, B.C.B.A.
• William Moncur Webster, M.D.
• Lolita Wee, CRNA
• Westmont Optometry
• John Richard White, M.D.
• Corinne E.D. Wickett
• Frederick D Williams, M.D.
• George Wissa, PHARMD
• Walter R. Wolleat, O.D.
• Mary Jo Wolowicz, MFT

• Behavior Analyst in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, 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 31, 2017; 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.