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

Ethan Clemmer

Individual provider Behavior Technician · NPI 1568015360

Ethan Clemmer is a Behavior Technician in Santa Rosa, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1335 N Dutton Ave # 95401
Santa Rosa, CA 95401-4609
Phone: (707) 888-2927
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 number1568015360
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2019
Last updated in NPPESJuly 20, 2019

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