Individual
ANNA EZRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
376 POWDER SPRINGS ST STE 140, MARIETTA, GA 30064-3448
(678) 691-2206
Mailing address
235 PHARR RD NE APT 1405, ATLANTA, GA 30305-2441
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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