Ethan John Dultz
NPI 1811646078ActiveIndividual· Behavior Analyst· Saint Louis, MO
Behavior Analyst in Saint Louis, Missouri, with an NPI issued in March 2022.
Overview
| NPI | 1811646078 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 23, 2022 |
| Last updated in NPPES | Oct 13, 2023 |
| Certified by provider | Oct 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Behavior Technician | 106S00000X | — | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Behavior Analyst providers in Saint Louis
- 1073494571
- 1134039548
- 1760134589
- 1013838150
- 1780573287
- 1518838762
- 1942107107
- 1053889618
- 1720329865
- 1891051108
- 1487517991
- 1215261045