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NPI Code Detail

MEDICARE: JAMIE B ETRINGER RBT

MEDICARE: JAMIE B ETRINGER RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2103K00000XBehavior Analyst1-21-54226NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-19-79932OTHERBEHAVIOR ANALYST CERTIFICATION BOARD (BACB)

General Provider Information

NPI Number : 1528520673
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE B ETRINGER RBT
Provider Business Mailing Address
First Line : 702 POPLAR ST
Second Line :
City : DURHAM
State : NC
Zip : 27703-9447
Country : US
Telephone Number : 252-299-4411
Fax Number :
Provider Business Practice Location Address
First Line : 210 TALS ROCK WAY STE 3
Second Line :
City : CARY
State : NC
Zip : 27519-1919
Country : US
Telephone Number : 919-745-8892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2019
Last Update Date : 10/21/2021

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Directions to “ JAMIE B ETRINGER RBT” Practice Location

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