Kristyn Jacomet, BCBA
Individual provider Active NPI Behavior Analyst · Etna, OH
NPI 1124947536 · NPPES record last updated Jul 11, 2026
Key facts
- NPI
- 1124947536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- COBA.02006 (OH)
- Practice address
- 120 Winesap St
Etna, OH 43062-9670 - Phone
- (614) 378-2258
- NPI assigned
- Jul 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | COBA.02006 | OH | Yes |
Addresses
Primary practice location
120 Winesap St
Etna, OH 43062-9670
Mailing address
120 Winesap St
Etna, OH 43062-9670
Phone (614) 378-2258
Other providers in Etna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.