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

Nissa Intarachote van Etten

Individual provider Behavior Analyst · NPI 1093087181

Nissa Intarachote van Etten is a Behavior Analyst in Walnut Creek, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

311 Lennon Ln Ste A
Walnut Creek, CA 94598-2418
Phone: (925) 210-9370
Fax: (925) 210-0436
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1084077 (CA)

Record details

NPI number1093087181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2012
Last updated in NPPESFebruary 3, 2012

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