Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Clark

Individual provider Behavior Technician · NPI 1013717925

Ethan Clark is a Behavior Technician in American Fork, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1159 E 200 N Ste 100
American Fork, UT 84003-2053
Phone: (801) 935-4171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1013717925
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address16255 Ventura Blvd Ste 830, Encino, CA 91436-2317

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