Ezra Staples

NPI #1700656899 in Harbor City, California

Provider Information

NPI Number: 1700656899
Entity Type: Individual
Name: Ezra Staples
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 8, 2024
Last Updated: Jan 8, 2024

Practice Location

Address: 1403 LOMITA BLVD STE 304
City: Harbor City
State: California
ZIP Code: 90710-2085
Phone: (323) 792-2540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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