ETHAN CLARK
NPI 1508787805
Behavior Technician in Elk Grove, CA
About Ethan Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN CLARK (NPI 1508787805) is an individual behavior technician in Elk Grove, California and active in the NPI registry since July 2026.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Clark's NPI number?
The NPI number for Ethan Clark is 1508787805. It was assigned to this individual provider in the NPPES registry on July 22, 2026.
Where is Ethan Clark located?
Ethan Clark practices at 10001 Wild Orchid Way, Elk Grove, CA 95757. The listed phone number is (916) 479-4038.
What is Ethan Clark's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Ethan Clark was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.