Nicole Breanne Wechsung, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-51313 Issued in CA

Practice address

200 Marina Dr
Seal Beach, CA 90740-6023

Phone

(562) 493-1249

NPI assigned

Dec 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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 Analysis No Ka Oi Inc

  • Behavior Analyst
  • Honolulu, HI
  • NPI 1811368574
  NPD (past)
• Behavior Analysis No Ka Oi Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Honolulu, HI
  • NPI 1356502066
  NPD (past)
• Treetop Therapy Co LLC

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1134986276
  NPD (past)

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1831606854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 ROYCROFT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031717",
            "telephone_number": "562-981-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARINA DR",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406023",
            "telephone_number": "562-493-1249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "564 South St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135013",
            "country_code": "US",
            "telephone_number": "808-591-1173",
            "fax_number": "808-591-1174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WECHSUNG",
        "first_name": "NICOLE",
        "middle_name": "BREANNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-51313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thoai Lan Vuong, PHARMACIST
• Mindy Wagner, OTR/L
• Elizabeth Caroline Walli, LMFT
• Patsy Delane Walter I
• Ignatia Teresa Wang, DPT
• Jade Weir, BCBA
• Robyn Ann Weldon
• Darryl Jonathan Werner, M.D.
• John Lester Werner, MD
• Stephen Alexander Westerhout, MD

• Behavior Analyst in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.