Katherine Retzer

Individual provider Active NPI Behavior Technician · Nipomo, CA

NPI 1700690351 · NPPES record last updated Feb 4, 2025

Key facts

NPI
1700690351
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
233 Crosby Way
Nipomo, CA 93444-8807
Phone
(805) 540-1705
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Behavior Consulting Current
since Feb 9, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

233 Crosby Way
Nipomo, CA 93444-8807

Mailing address

233 Crosby Way
Nipomo, CA 93444-8807
Phone (805) 540-1705

Other providers in Nipomo, CA

All providers in Nipomo, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.