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

Nicholas Wennerholm

Individual provider Behavior Analyst · NPI 1861356057

Nicholas Wennerholm is a Behavior Analyst in Fortuna, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

3429 Renner Dr
Fortuna, CA 95540-3104
Phone: (707) 296-9295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)
Behavior Analyst Taxonomy 103K00000X (CA)
Social Worker Taxonomy 104100000X (CA)

Record details

NPI number1861356057
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

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