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Deactivated NPI 1285997148 Deactivated / Inactive NPI Female Practitioner

Nellie Pascua Etrata , MAT SPED

Behavior Analyst • Bronx, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nellie Etrata has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2012
NPI Deactivation Date January 11, 2022
Total Practice Duration ~10 Years of Practice (2012 – 2022)

Professional Overview & Biography Verified Profile Summary

Nellie Etrata, MAT SPED was a registered Behavior Analyst practicing in Bronx, NY. Throughout an active medical career spanning 10 years, Nellie Etrata provided care at the practice location at 1563 METROPOLITAN AVE until profile deactivation on 2022-01-11.

Practice Location & Contact Primary Location

Practice Address

1563 Metropolitan Ave
3f

Bronx, NY 104626223

Telephone 3478666996

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
323 Specialists

Practicing in Bronx, NY (5252 Statewide)

Telehealth Adoption Rate
0.0% 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

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 11, 2022

Record deactivated on January 11, 2022

NPI Profile Active June 15, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2012

Registered at 1563 METROPOLITAN AVE, 3F, BRONX, NY 104626223 (Tel: 3478666996)

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Updated Business Mailing Address June 15, 2012

Registered at 1563 METROPOLITAN AVE, 3F, BRONX, NY 104626223 (Tel: 3478666996)

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Provider Name / Credentials Updated June 15, 2012

Recorded as NELLIE ETRATA, MAT SPED

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2012

Behavior Analyst

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Initial NPI Registration & Enumeration June 15, 2012

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: 1285997148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2012
Last Update: June 15, 2012
Deactivation Date: January 11, 2022

Mailing Address

1563 Metropolitan Ave, 3f

Bronx, NY 104626223

Phone: 3478666996

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.