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Deric Kettwig
NPI 1508581794 · Behavior Technician · Costa Mesa, CA
Deric Kettwig is a Behavior Technician provider in Costa Mesa, CA (NPI 1508581794).
Provider details
- NPI number
- 1508581794
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3151 Airway Ave Ste P3
Costa Mesa, CA 92626-4626
Phone: (949) 694-7172
Street-level locationGet directions
Mailing address
378 N 475 W
Valparaiso, IN 46385-9228
Registry dates
- Enumerated
- 2022-10-10
- Last updated
- 2022-10-10
- Certified
- 2022-10-10
Frequently asked questions
- What is Deric Kettwig's NPI number?
- Deric Kettwig's National Provider Identifier (NPI) is 1508581794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deric Kettwig's specialty?
- Deric Kettwig is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Deric Kettwig located?
- Deric Kettwig's practice location on file with NPPES is 3151 Airway Ave Ste P3, Costa Mesa, CA 92626-4626.
- What is Deric Kettwig's phone number?
- The practice phone number listed in the NPPES registry for Deric Kettwig is (949) 694-7172.
- Is Deric Kettwig's NPI active?
- Yes — Deric Kettwig's NPI (1508581794) is active in the NPPES registry as of the last update on 2022-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.