Individual
ETHAN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2106 CHICORY WAY, RENO, NV 89509-5844
(775) 710-1688
Mailing address
1550 EVANS AVE APT 1413, RENO, NV 89512-2265
(916) 704-3487
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT5653
NV
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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