Christian Ezelle

NPI #1790410850 in Millbrook, Alabama

Provider Information

NPI Number: 1790410850
Entity Type: Individual
Name: Christian Ezelle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 21, 2022
Last Updated: Jul 21, 2022

Practice Location

Address: 2050 COMMERCE ST
City: Millbrook
State: Alabama
ZIP Code: 36054-4212
Phone: (334) 290-5095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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