Etienne Marshall Thach, RBT is a
Student In An Organized Health Care Education/training Program based in Santa Barbara, California. Etienne Marshall Thach is licensed to practice in NU (license number ) and his current practice location is
107 E Micheltorena St, Santa Barbara, California. He can be reached at his office (for appointments etc.) via phone at
(714) 801-4038.
NPI number for Etienne Marshall Thach is 1679331193 and his current mailing address is 300 45th St S, Fargo, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679331193.
Healthcare Provider's Profile
| Full Name | Etienne Marshall Thach |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 107 E Micheltorena St, Santa Barbara, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679331193
- Provider Enumeration Date: 03/08/2024
- Last Update Date: 09/23/2026
Medical Identifiers
Medical identifiers for Etienne Marshall Thach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679331193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (California) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (NU) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Primary |
| 106S00000X | Behavior Technician | RBT-24-332667 (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Etienne Marshall Thach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Etienne Marshall Thach, RBT
300 45th St S,
Fargo, ND 58103-1189
Ph: (714) 801-4038 | Etienne Marshall Thach, RBT
107 E Micheltorena St,
Santa Barbara, CA 93101-1905
Ph: (714) 801-4038 |
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