Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Marie Wedberg, BCBA

Individual provider Behavior Analyst · NPI 1306257654

Kelly Marie Wedberg, BCBA is a Behavior Analyst in Bishop, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

192 E Line St Ste A
Bishop, CA 93514-3532
Phone: (717) 781-3924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-14-15917 (CA)

Record details

NPI number1306257654
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMay 8, 2014
Last updated in NPPESFebruary 6, 2017

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