Ethan Nelson
Behavior Technician in Aberdeen, MD. Individual provider (NPI-1).
NPI number1629905930
StatusActive
Last updated in NPPESMay 10, 2026
Details
- NPI
- 1629905930
- Entity type
- Individual (NPI-1)
- Name
- Ethan Nelson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2026
- Certification date
- May 10, 2026
- Last updated
- May 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3 Victory StAberdeen, MD 21001-3811
Phone 410-357-1180
Mailing address
3 Victory StAberdeen, MD 21001-3811
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Behavior Technician providers in Aberdeen, MD
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- Jameil FullwoodNPI 1336075894
- Janet A GloverNPI 1881218386
- Kenya W Kabando, RBTNPI 1629931514
- Belina OnomakeNPI 1790300051
- Lakisha Lilly WilliamsNPI 1922929819
All 8 Behavior Technician providers in Aberdeen · All 567 providers in Aberdeen
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