Ettil Kamenetzky, MS ED BCBA
NPI 1316586332ActiveIndividual· Behavior Analyst· Jackson, NJ
Behavior Analyst (MS ED BCBA) in Jackson, New Jersey, licensed in NJ, with an NPI issued in December 2019.
Overview
| NPI | 1316586332 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS ED BCBA |
| Sole proprietor | Yes |
| NPI issued | Dec 23, 2019 |
| Last updated in NPPES | Dec 23, 2019 |
| Certified by provider | Dec 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-19-3695 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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