Ethan Allen Roach
Individual provider Active NPI Assistant Behavior Analyst · Oakland, OR
NPI 1952249682 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1952249682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 540 Stearns LN
Oakland, OR 97462-8763 - Phone
- (855) 832-6727
- NPI assigned
- Mar 23, 2026
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | OR | Yes |
Addresses
Primary practice location
540 Stearns LN
Oakland, OR 97462-8763
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Oakland, OR
- Joel Alan Humphreys
- Craig Jordan
- Terry Liu
- Positive Behavior Supports Corporation
- Remedy Wellness LLC
- Gilbert Rodello
- Mark A Saren
All providers in Oakland, OR · Assistant Behavior Analyst in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.