Ethan Clark
Behavior Technician · American Fork, UT
NPI number
1013717925
Practice location
1159 E 200 N Ste 100American Fork, UT 84003-2053
- Phone
- (801) 935-4171
NPI record
- NPI
- 1013717925
- Entity type
- Individual (Type 1)
- Enumeration date
- March 18, 2025
- Last updated
- March 18, 2025
- Certified
- March 18, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
16255 Ventura Blvd Ste 830Encino, CA 91436-2317
About Ethan Clark
Ethan Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1159 E 200 N Ste 100, American Fork, UT 84003-2053. The NPI number 1013717925 was assigned on March 18, 2025 and the record was last updated on March 18, 2025.
Frequently asked questions
What is the NPI number of Ethan Clark?
The NPI number is 1013717925.
What is the phone number of Ethan Clark?
The phone number listed for the practice location is (801) 935-4171.
Where is Ethan Clark located?
1159 E 200 N Ste 100, American Fork, UT 84003-2053.
What is the taxonomy code for Ethan Clark?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Kayleen Bond1159 E 200 N Ste 100
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- Jared Hales1159 E 200 N Ste 100
- Joseph Brown1159 E 200 N Ste 100
- Taylor Lunnen1159 E 200 N Ste 100
- Kellsie Ayers1159 E 200 N Ste 100
- Miles White1159 E 200 N Ste 100