Ethan Lara Juarez
Ethan Lara Juarez is a Behavior Technician in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2026.
- Licensed in
- AZ
- In the registry since
- 2026
Practice location Address checks out
13700 N Dysart Rd Ste 180Surprise, AZ 85379-3319
Phone: (855) 223-7123
Fax: (619) 374-7134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-25-447051 (AZ) |
|---|
Record details
| NPI number | 1023961646 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 16, 2026 |
| Last updated in NPPES | February 16, 2026 |
| Certification date | February 16, 2026 |
| Mailing address | Po Box 740780, Atlanta, GA 30374-0780 |
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