Healthcare Provider Details

I. General information

NPI: 1154241602
Provider Name (Legal Business Name): ETIKA ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 BUSKIRK AVE STE 300 PMB 242
WALNUT CREEK CA
94597-6900
US

IV. Provider business mailing address

2950 BUSKIRK AVE STE 300
WALNUT CREEK CA
94597-6900
US

V. Phone/Fax

Practice location:
  • Phone: 510-290-8762
  • Fax:
Mailing address:
  • Phone: 510-290-8762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. ERWIN ROLANDO HIGUEROS JR.
Title or Position: CLINICAL DIRECTOR
Credential: BCBA
Phone: 510-290-8762