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

Mrs. Raquel Monique Ethridge

Individual provider Behavior Technician · NPI 1861356651

Mrs. Raquel Monique Ethridge is a Behavior Technician in Gardena, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1411 W 190th St
Gardena, CA 90248-4324
Phone: (714) 834-1111
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 106S00000X (CA)

Record details

NPI number1861356651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2025
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

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