Individual provider · Type 1 NPI

Etienne Marshall Thach, RBT

Student in an Organized Health Care Education/Training Program · Santa Barbara, CA

NPI number 1679331193 Active

Practice location

107 E Micheltorena St
Santa Barbara, CA 93101-1905

Call (714) 801-4038 Map

Mailing address

300 45th St S
Fargo, ND 58103-1189

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Behavior Technician 106S00000XRBT-24-332667
Counselor 101Y00000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679331193

Etienne Marshall Thach, RBT's National Provider Identifier is 1679331193, issued on Mar 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Barbara, CA. The record was last updated on Sep 23, 2026.