NPI 1265848451 · live from the CMS NPI Registry
Ezra Hall, Ph.D., BCBA-D
Behavior Analyst in Martinsburg, WV. National Provider Identifier 1265848451, active.
NPI record
| NPI | 1265848451 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1010 Winchester Ave, Martinsburg, WV 25401 |
| Practice phone | 304-290-4262 |
| Mailing address | Po Box 442, Shepherdstown, WV 25443 |
| Enumerated | July 8, 2014 |
| Last updated | January 4, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.