Active NPI
Renee Annette Wulff-Westerheide
- Behavior Analyst
- San Juan Capistrano, CA
National Provider Identifier
1306136635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-07-3972
- Practice address
- 29122 Rancho Viejo Rd
#204
San Juan Capistrano, CA 92675-1018 - Phone
- (949) 547-8226
- Fax
- (858) 444-8827
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-07-3972 | CA | Primary |
Addresses
Primary practice location
29122 Rancho Viejo Rd
#204
San Juan Capistrano, CA 92675-1018
Mailing address
33962 Calle de Bonanza
San Juan Capistrano, CA 92675-5025
Phone (949) 547-8226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Learning Partners, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Downey, CA
- NPI 1942537733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1306136635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33962 CALLE DE BONANZA",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926755025",
"telephone_number": "949-547-8226",
"fax_number": "858-444-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29122 RANCHO VIEJO RD",
"address_2": "#204",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751018",
"telephone_number": "949-547-8226",
"fax_number": "858-444-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WULFF-WESTERHEIDE",
"first_name": "RENEE",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-07-3972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.