Ethan Rodriguez

Behavior Analyst · Corona, CA

Individual Active NPI

NPI number 1063304087

Practice location

255 E Rincon St Ste 219
Corona, CA 92879-1387
Phone
(714) 834-1111
Fax
(714) 834-1128

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NPI record

NPI
1063304087
Entity type
Individual (Type 1)
Enumeration date
July 15, 2025
Last updated
July 15, 2025
Certified
July 15, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Ethan Rodriguez

Ethan Rodriguez is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 255 E Rincon St Ste 219, Corona, CA 92879-1387. The NPI number 1063304087 was assigned on July 15, 2025 and the record was last updated on July 15, 2025.

Frequently asked questions

What is the NPI number of Ethan Rodriguez?

The NPI number is 1063304087.

What is the phone number of Ethan Rodriguez?

The phone number listed for the practice location is (714) 834-1111.

Where is Ethan Rodriguez located?

255 E Rincon St Ste 219, Corona, CA 92879-1387.

What is the taxonomy code for Ethan Rodriguez?

The primary taxonomy code is 103K00000X – Behavior Analyst.

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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