Individual provider · Type 1 NPI

Jatori Kelis Etheridge

Behavior Technician · Worcester, MA

NPI number 1639074685 Active

Practice location

48 Elm St
Worcester, MA 01609-2541

Mailing address

75 Colonel Bell Dr
Brockton, MA 02301-1958

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XSA0971135 (MA)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1639074685

Jatori Kelis Etheridge's National Provider Identifier is 1639074685, issued on Oct 10, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Worcester, MA. The record was last updated on Oct 10, 2026.