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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN KRUSE

Active Sole Proprietor

ETHAN KRUSE is a Behavior Analyst healthcare provider located in SAN GABRIEL, California. NPI 1134005762 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · SAN GABRIEL, CA

Registration Details

NPI Number
1134005762
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2025 (1.0059607467902 yrs)
Last Updated
Aug 11, 2025
Sole Proprietor
Yes

Practice Information

Address
201 BRIDGE ST
SAN GABRIEL, CA, 917752721
Browse CA providers · Browse ZIP 91775
Phone
6268400314
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in SAN GABRIEL, CA

Name Credential NPI
LUSINEH GHARAPETIAN 1568737260
MS. RUTH TELLO-DI LEVA MS, BCBA 1649533753
KAE YABUKI BCBA 1740544337
DR. JAMES EDWARD KING BCBA-D 1689938375
DR. GRACE CHANG BCBA 1043574213
DANIELA ORTIZ BCBA 1659636132
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.