Michelle Wieters

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

4240 Issued in TX

Practice address

15911 Nacogdoches Rd BLDG 1
San Antonio, TX 78247-1107

Phone

(210) 599-7733

NPI assigned

Nov 6, 2019

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Autistic Treatment Center, Inc.

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1912640533
  NPD

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1356985956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 SILVER FOX",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471100",
            "telephone_number": "210-482-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15911 NACOGDOCHES RD BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471107",
            "telephone_number": "210-599-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETERS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "TX",
            "license": "4240",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-16-13391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Wiernik, PSY.D.
• Jeremy Nyle Wiersig, MD
• Leigh A. Wiesehan, MS, LPC-A
• Alison Wiesenthal, M.D.
• Martin Jerome Wiesenthal, MD
• Zoey Wieters
• Wifi Medical Doctors
• Katie Christine Wiggins-Dohlvik, MD
• Alexis Nicole Wiggins
• Crystal Brook Wiggins

• Assistant Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Assistant Behavior Analyst in Texas

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