MS. RENEE ELLEN ETTINGER M.S., BCBA
NPI 1558704254
Case Manager/Care Coordinator in San Jose, CA

Q: What is Renee Ettinger's NPI number?

The NPI number for Renee Ettinger is 1558704254. It was assigned to this individual provider in the NPPES registry on April 11, 2013. The provider is also known as Miss Renee Ellen Eilerts M.S., Bcba.

Q: What is Renee Ettinger's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Renee Ettinger was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 11, 2013

1101 S WINCHESTER BLVD STE N260, SAN JOSE, CA 95128(925) 808-1998 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Renee Ellen Ettinger M.s., Bcba NPPES

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

MS. RENEE ELLEN ETTINGER M.S., BCBA (NPI 1558704254) is an individual case manager/care coordinator provider in San Jose, California and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1558704254

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMS. RENEE ELLEN ETTINGERCredential: M.S., BCBA

Location Address1101 S WINCHESTER BLVD STE N260San Jose, CA 95128-3901

Mailing Address1101 S Winchester Blvd Ste N260San Jose, CA 95128-3901 · (925) 808-1998

Phone(925) 808-1998

Sole ProprietorNo

Enumeration DateApril 11, 2013

Last NPPES UpdateJanuary 22, 2021

NPPES CertifiedJanuary 22, 2021

✔ NPI 1558704254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1101 S WINCHESTER BLVD STE N260, San Jose, CA 95128

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Other Names 1

Former Name (1)Miss Renee Ellen Eilerts M.s., Bcba

Other Providers at the Same Location NPPES 14

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

HELEN PHAM

Counselor (Mental Health)