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

Wynn Lindahl Grotegut

Individual provider Behavior Technician · NPI 1457801979

Wynn Lindahl Grotegut is a Behavior Technician in Fremont, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

39210 State St
Fremont, CA 94538-1456
Phone: (510) 894-4135
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 46-1305562 (CA)

Record details

NPI number1457801979
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 7, 2016
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020

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