Ethan Landry
Ethan Landry is a Behavior Technician in San Bruno, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
901 Sneath Ln Ste 105San Bruno, CA 94066-2415
Phone: (650) 515-9882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1467057844 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 2, 2020 |
| Last updated in NPPES | December 2, 2020 |
| Certification date | December 2, 2020 |
| Mailing address | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 |
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