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

Shanae Etheridge

Individual provider Behavior Technician · NPI 1962176172

Shanae Etheridge is a Behavior Technician in Avondale, Arizona. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

10320 W McDowell Rd Ste K1136
Avondale, AZ 85392-4876
Phone: (855) 223-7123
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 number1962176172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417

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