Sandra Ezra

NPI 1366908071 · on the registry since 2019 · sole proprietor

Practice

Address: 2314 Miami St
South Bend, IN 46614
Phone: (574) 204-2475
Organisation at this address: Partnership For Behavior Change
Myh Library / Begin To Wake Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana