MEDICARE: ETHAN JAMES HAIGH

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
1	106S00000X	Behavior Technician	RBT-1377816	FL

General Provider Information

NPI Number	:	1437013513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ETHAN JAMES HAIGH

Provider Business Mailing Address
First Line	:	14863 CHATHAM COURT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415
Country	:	US
Telephone Number	:	484-502-4478
Fax Number	:

Provider Business Practice Location Address
First Line	:	7376 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33467-2529
Country	:	US
Telephone Number	:	561-788-4086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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