DR. TRACY LYNNE KETTERING PH.D., BCBA-D
NPI 1376895870
Behavior Analyst in Mount Laurel, NJ

Q: What is Tracy Kettering's NPI number?

The NPI number for Tracy Kettering is 1376895870. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Q: What is Tracy Kettering's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Kettering was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 08, 2012

311 WALTON AVE, MOUNT LAUREL, NJ 08054(844) 234-8387(856) 429-4755 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tracy Lynne Kettering Ph.d., Bcba-d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACY LYNNE KETTERING PH.D., BCBA-D (NPI 1376895870) is an individual behavior analyst provider in Mount Laurel, New Jersey, licensed in New Jersey (1062808) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1376895870

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameDR. TRACY LYNNE KETTERINGCredential: PH.D., BCBA-D

Location Address311 WALTON AVEMount Laurel, NJ 08054-9579

Mailing Address1255 Caldwell RdCherry Hill, NJ 08034-3220 · (844) 234-8387 · Fax (856) 429-4755

Phone(844) 234-8387

Fax(856) 429-4755

Sole ProprietorNo

Enumeration DateOctober 8, 2012

Last NPPES UpdateNovember 14, 2019

✔ NPI 1376895870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in NJ · 1062808

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

311 WALTON AVE, Mount Laurel, NJ 08054

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE RUGGIERO BCBA

Behavior Analyst