Ettil Kamenetzky, MS ED BCBA
Behavior Analyst in Jackson, NJ. Individual provider (NPI-1).
NPI number1316586332
StatusActive
Last updated in NPPESDec 23, 2019
Details
- NPI
- 1316586332
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ettil Kamenetzky
- Credential
- MS ED BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 23, 2019
- Certification date
- Dec 23, 2019
- Last updated
- Dec 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-19-3695 | NJ | Yes |
Other names
- Ettil Weiss (Professional Name)
Practice location
11 Colorado DrJackson, NJ 08527-2107
Phone 516-776-7834
Mailing address
11 Colorado DrJackson, NJ 08527-2107
Phone 516-776-7834
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