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 1508787805

Ethan Clark is a Behavior Technician in Elk Grove, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

10001 Wild Orchid Way
Elk Grove, CA 95757-4345
Phone: (916) 479-4038
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1508787805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 22, 2026
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Other providers in Elk Grove