Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Rutalis

Individual provider Behavior Analyst · NPI 1649730409

Jennifer Rutalis is a Behavior Analyst in Huntersville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
Specialties on file
3

Practice location Address checks out

9607 Kincey Ave
Huntersville, NC 28078-9140
Phone: (704) 686-7904
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 158 (NC)
Behavior Analyst Taxonomy 103K00000X · Licence 158
Behavior Technician Taxonomy 106S00000X · Licence 1-17-44457 (NC)

Record details

NPI number1649730409
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address9607 Kincey Ave, Huntersville, NC 28078-9140

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