Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Reese Whidden, RBT

Individual provider Behavior Technician · NPI 1962191346

Kelly Reese Whidden, RBT is a Behavior Technician in San Clemente, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

1000 Calle Amanecer
San Clemente, CA 92673-6214
Phone: (949) 498-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-270410 (CA)

Record details

NPI number1962191346
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorYes
NPI enumeratedMay 2, 2023
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

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