Ethan Akrie

Individual provider Active NPI Behavior Technician · Carlsbad, CA

NPI 1720704372 · NPPES record last updated Sep 24, 2025

Key facts

NPI
1720704372
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2928 Jefferson St Ste 100
Carlsbad, CA 92008-2374
Phone
(855) 223-7123
Fax
(619) 374-7134
NPI assigned
Oct 17, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2928 Jefferson St Ste 100
Carlsbad, CA 92008-2374

Mailing address

PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123

Other providers in Carlsbad, CA

All providers in Carlsbad, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.