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

Ethan Kruse

Individual provider Behavior Analyst · NPI 1134005762

Ethan Kruse is a Behavior Analyst in San Gabriel, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

201 Bridge St
San Gabriel, CA 91775-2721
Phone: (626) 840-0314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1134005762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address201 Bridge St, San Gabriel, CA 91775-2721

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