Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811646078 Individual Practitioner Male Practitioner

Ethan John Dultz

Behavior Analyst • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Ethan Dultz is a registered healthcare professional specializing in Behavior Analyst in Saint Louis, MO. Practice services are available at 9734 OLIVE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9734 Olive Blvd
Unit 101

Saint Louis, MO 631323253

Telephone 3149322402
Fax 3146669770
Associated Practice Facility / Clinic
🏢 Bluesprig Facility NPI 1457150716

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
246 Specialists

Practicing in Saint Louis, MO (1191 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kacey Russell , RBT

Behavior Technician

NPI 1003440728

Registered Behavior Technician

Alexandria Bryant

Behavior Analyst

NPI 1013541077
Tori Harbison

Behavior Technician

NPI 1013663541
Shannon Mckeon , RBT

Behavior Technician

NPI 1013673144

Registered Behavior Technician

Adriana Gonzalez

Behavior Technician

NPI 1013770296
Christin Mund , RBT

Behavior Analyst

NPI 1023643509

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 13, 2023

Registered at 9734 OLIVE BLVD, UNIT 101, SAINT LOUIS, MO 631323253 (Tel: 3149322402)

📍
Updated Business Mailing Address October 13, 2023

Registered at 7500 SAN FELIPE ST STE 990, HOUSTON, TX 770631708 (Tel: 2818263382)

NPI Profile Active March 23, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2022

Registered at 205 PORTLAND ST, COLUMBIA, MO 652016521 (Tel: 5738846052)

📍
Updated Business Mailing Address March 23, 2022

Registered at 900 JOEARD LN, SAINT CHARLES, MO 633012344 (Tel: 6368661080)

👤
Provider Name / Credentials Updated March 23, 2022

Recorded as ETHAN DULTZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 23, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811646078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2022
Last Update: October 13, 2023
Sole Proprietor: No

Mailing Address

7500 San Felipe St Ste 990

Houston, TX 770631708

Phone: 2818263382

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.