Brenda Sue Woudenberg, BEHAVIORAL TECH

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7700 Irvine Center Dr Ste 220
Irvine, CA 92618-3012

Phone

(616) 745-2095

NPI assigned

Apr 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1265895411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TUSTIN AVE # C151",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634729",
            "telephone_number": "616-745-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 IRVINE CENTER DR STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183012",
            "telephone_number": "616-745-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOUDENBERG",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "credential": "BEHAVIORAL TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213075",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Wooley, DO
• Sally Woolpert
• Adam Wootton, ARRT(R)(MR)
• Jessica Mieke Claus Workman, DPT
• Ricki Worth
• Ann Kristin Wright
• Dillan Bryn Wright
• Jeremiah Nathanael Wright, LPCC
• Preston James Wright
• Valerie L. Wright, PH.D.

• Behavior Technician in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.