Organization
EZRA BEHAVIORAL ANALYSIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEVIN (OWNER)
(646) 285-2558
Entity
Organization
Contact information
Practice address
181 STATION AVE, STATEN ISLAND, NY 10309-2740
(348) 808-3972
Mailing address
181 STATION AVE, STATEN ISLAND, NY 10309-2740
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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