What is Ethan Rodriguez's NPI number?

Ethan Rodriguez's National Provider Identifier (NPI) is 1063304087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Rodriguez's specialty?

Ethan Rodriguez is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Ethan Rodriguez located?

Ethan Rodriguez's practice location on file with NPPES is 255 E Rincon St Ste 219, Corona, CA 92879-1387.

What is Ethan Rodriguez's phone number?

The practice phone number listed in the NPPES registry for Ethan Rodriguez is (714) 834-1111.

Is Ethan Rodriguez's NPI active?

Yes — Ethan Rodriguez's NPI (1063304087) is active in the NPPES registry as of the last update on 2025-07-15.

IndividualActive

Ethan Rodriguez

NPI 1063304087 · Behavior Analyst · Corona, CA

Ethan Rodriguez is a Behavior Analyst provider in Corona, CA (NPI 1063304087).

Provider details

NPI number: 1063304087
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior AnalystPrimary103K00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

255 E Rincon St Ste 219

Corona, CA 92879-1387

Phone: (714) 834-1111

Fax: (714) 834-1128

Street-level locationGet directions

More CA providers

Mailing address