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

Ethan Nicolaus Martin

Individual provider Behavior Technician · NPI 1407678436

Ethan Nicolaus Martin is a Behavior Technician in Salem, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1114 3rd St NW
Salem, OR 97304-4063
Phone: (707) 849-0253
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 number1407678436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

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