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

Ethan Rodriguez

Individual provider Behavior Analyst · NPI 1063304087

Ethan Rodriguez is a Behavior Analyst in Corona, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

255 E Rincon St Ste 219
Corona, CA 92879-1387
Phone: (714) 834-1111
Fax: (714) 834-1128
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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 number1063304087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address255 E Rincon St Ste 219, Corona, CA 92879-1387

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