Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jatori Kelis Etheridge

Individual provider Behavior Technician · NPI 1639074685

Jatori Kelis Etheridge is a Behavior Technician in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

48 Elm St
Worcester, MA 01609-2541
Phone: (774) 315-4929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence SA0971135 (MA)

Record details

NPI number1639074685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2026
Last updated in NPPESOctober 10, 2026
Certification dateOctober 9, 2026

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