Lisa Marie Ethridge

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

95 3Rd St FL 2
San Francisco, CA 94103-3103

Phone

(855) 832-6727

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Positive Behavior Supports Corporation

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1528405008

  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1477229391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 3RD ST",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 3RD ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033103",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Etcheverry, D.C.
• Cathleen Anne Etcheveste, RN
• Eternal Health Medical of California, P.C.
• Ari U. Etheridge, M.D.
• Ethio Bay Services, LLC (Hooloo Travel)
• Michele Etzbach, PA-C
• Joan E. Etzell, M.D.
• Bethany Ann Eubanks, MD
• Eugene C Groeger,M.D. a Professional Corporation
• Eugene M. Wolf M.D. Inc.

• Behavior Analyst in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.