Search › California › Behavior Technician
Ethan Clark
NPI 1508787805 · on the registry since 2026
Practice
- Address
- 10001 Wild Orchid Way
Elk Grove, CA 95757 - Phone
- (916) 479-4038
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California