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Individual

DR. EZRA HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., BCBA-D

Contact information

Practice address
1010 WINCHESTER AVE, MARTINSBURG, WV 25401-1683
(304) 290-4262
(304) 212-0627
Mailing address
PO BOX 442, SHEPHERDSTOWN, WV 25443-0442
(304) 290-4262
(304) 212-0627

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/08/2014
Last updated
01/04/2022
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