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

Michael Etheridge

Individual provider Behavior Technician · NPI 1992264170

Michael Etheridge is a Behavior Technician in San Bruno, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

751 Camino Plz Ste A
San Bruno, CA 94066-3401
Phone: (652) 627-8045
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 number1992264170
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESMarch 18, 2019
Mailing address390 Union Blvd Ste 300, Lakewood, CO 80228-6514

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