MR. Ezra Jeremiah Ruaw Mao

NPI #1205721941 in Yucaipa, California

Provider Information

NPI Number: 1205721941
Entity Type: Individual
Name: MR. Ezra Jeremiah Ruaw Mao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 12, 2025
Last Updated: Jun 12, 2025

Practice Location

Address: 34448 YUCAIPA BLVD STE A
City: Yucaipa
State: California
ZIP Code: 92399-2412
Phone: (754) 790-9353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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