Individual
ETHAN ALLEN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 STEARNS LN, OAKLAND, OR 97462-8763
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
OR
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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