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

Ethan Reis Gravitt

Individual provider Behavior Technician · NPI 1194539114

Ethan Reis Gravitt is a Behavior Technician in Concord, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1200 Concord Ave Ste 185
Concord, CA 94520-5006
Phone: (510) 268-8120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1194539114
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 3, 2025
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

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