ETHAN KRUSE

Behavior Analyst

Active Individual
NPI: 1134005762

Practice Address

201 BRIDGE ST
San Gabriel, CA 91775

Phone: (626) 840-0314

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X Yes -

Frequently Asked Questions

NPI 1134005762 is the National Provider Identifier for ETHAN KRUSE, a Behavior Analyst provider located in San Gabriel, CA. This NPI was enumerated on August 11, 2025.
ETHAN KRUSE practices at 201 BRIDGE ST, San Gabriel, CA 91775.

Quick Facts

NPI
1134005762
Type
Individual
Enumerated
Aug 11, 2025
Last Updated
Aug 11, 2025

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