Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ethan Altmark

Individual provider Behavior Technician · NPI 1326858465

Ethan Altmark is a Behavior Technician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1440 E 46th St
Indianapolis, IN 46205-2021
Phone: (317) 918-2689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-26-86952 (IN)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1326858465
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2025
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 10, 2026

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