Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356272454 Individual Practitioner Male Practitioner

Ethan Isaac Pearson

Behavior Analyst • Boulder Creek, CA

Professional Overview & Biography Verified Profile Summary

Ethan Pearson is a registered healthcare professional specializing in Behavior Analyst in Boulder Creek, CA. Practice services are available at 12057 HIGHWAY 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12057 Highway 9

Boulder Creek, CA 950069406

Telephone 4086636652
Associated Practice Facility / Clinic
🏢 Play Aba, Llc Facility NPI 1366801169

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Boulder Creek, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Boulder Creek, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-25-83098

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Practice Locations

9755 Lincoln Village Dr

Sacramento, CA 958273334

Phone: 9163636103

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1013376813

MAT, Board Certified Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 27, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2026

Registered at 12057 HIGHWAY 9, BOULDER CREEK, CA 950069406 (Tel: 4086636652)

📍
Updated Business Mailing Address May 27, 2026

Registered at 12178 HETCH HECHY DR, RANCHO CORDOVA, CA 957428235 (Tel: 9729712570)

👤
Provider Name / Credentials Updated May 27, 2026

Recorded as ETHAN PEARSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2026

Behavior Analyst (License #1-25-83098 in CA)

🟢
Initial NPI Registration & Enumeration May 27, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356272454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2026
Last Update: May 27, 2026
Sole Proprietor: No

Mailing Address

12178 Hetch Hechy Dr

Rancho Cordova, CA 957428235

Phone: 9729712570

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.