ETHAN WICK
NPI 1053132001
Behavior Technician in Jacksonville, FL

Q: What is Ethan Wick's NPI number?

The NPI number for Ethan Wick is 1053132001. It was assigned to this individual provider in the NPPES registry on October 22, 2024. The provider is also known as Ethan Lynch Wick.

Q: What is Ethan Wick's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Wick was last updated on October 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 22, 2024

12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(855) 832-6727 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ethan Wick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN WICK (NPI 1053132001) is an individual behavior technician in Jacksonville, Florida and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1053132001

Entity TypeIndividualMale

Primary Taxonomy106S00000X

Provider Legal NameETHAN WICK

Location Address12724 GRAN BAY PKWY W STE 410Jacksonville, FL 32258-9486

Mailing Address7108 S Kanner HwyStuart, FL 34997-7462

Phone(855) 832-6727

Sole ProprietorNo

Enumeration DateOctober 22, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1053132001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258

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Other Names 1

Other Name (5)Ethan Lynch Wick

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL STEVENS

Behavior Technician