Active NPI
Ellen Marie Wetekamp, BS
- Behavior Analyst
- Alhambra, CA
National Provider Identifier
1659985166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 41 N Garfield Ave Ste 207
Alhambra, CA 91801 - Phone
- (626) 387-6996
- Fax
- (626) 898-9298
- NPI assigned
- Sep 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-112570 | IN | |
| Behavior Analyst | 103K00000X | CA | Primary |
Addresses
Primary practice location
41 N Garfield Ave Ste 207
Alhambra, CA 91801
Mailing address
41 N Garfield Ave Ste 207
Alhambra, CA 91801-7502
Phone (626) 387-6996
Other practice location 1
4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone (260) 471-9263
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-112570 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Effects, LLC | Behavior Analyst | Past | Accepting new patients |
| Activesteps | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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
- Alhambra, CA
- NPI 1902323173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1659985166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 N GARFIELD AVE STE 207",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918017502",
"telephone_number": "626-387-6996",
"fax_number": "626-898-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 N GARFIELD AVE STE 207",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "91801",
"telephone_number": "626-387-6996",
"fax_number": "626-898-9298"
}
],
"practiceLocations": [
{
"address_1": "4422 E State Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468156917",
"country_code": "US",
"telephone_number": "260-471-9263",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETEKAMP",
"first_name": "ELLEN",
"middle_name": "MARIE",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-20-112570",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.