DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ETHAN WARREN

MEDICARE: ETHAN WARREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianUT

General Provider Information

NPI Number : 1346108073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ETHAN WARREN
Provider Business Mailing Address
First Line : 16255 VENTURA BLVD STE 900
Second Line :
City : ENCINO
State : CA
Zip : 91436-2317
Country : US
Telephone Number : 801-935-4171
Fax Number : 801-935-4171
Provider Business Practice Location Address
First Line : 2940 N CHURCH ST STE 204
Second Line :
City : LAYTON
State : UT
Zip : 84040-6616
Country : US
Telephone Number : 801-935-4171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

Similar Medicare Providers

1568321198 — DYLAN O'NEAL
Practice Location Address:
2940 N CHURCH ST STE 204
LAYTON, UT
84040-6616
Practice Phone: 801-935-4171
Practice Fax:
1073297248 — DUNCAN MCROBERTS
Practice Location Address:
2940 N CHURCH ST STE 204
LAYTON, UT
84040-6616
Practice Phone: 801-935-4171
Practice Fax:
1700735719 — KATHRYN CHENEY
Practice Location Address:
2940 N CHURCH ST STE 204
LAYTON, UT
84040-6616
Practice Phone: 801-935-4171
Practice Fax:
1518200278 — AMANDA NICHOLE SMITH BEHAVIOR ANALYST
Practice Location Address:
2940 N CHURCH ST STE 204
LAYTON, UT
84040-6616
Practice Phone: 801-935-4171
Practice Fax:
1487013975 — MICHELLE HANNAH JOHNSON
Practice Location Address:
2940 N CHURCH ST STE 204
LAYTON, UT
84040-6616
Practice Phone: 801-614-2587
Practice Fax: 801-255-5131
1598214991 — CRYSTAL GIBSON BCBA, MA
Practice Location Address:
2940 N CHURCH ST STE 204
LAYTON, UT
84040-6616
Practice Phone: 801-935-4171
Practice Fax: 801-935-4946

Directions to “ ETHAN WARREN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.