Ezra Mal Fry
Ezra Mal Fry is a Behavior Technician in Chattanooga, Tennessee. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
113 Goodson Ave Apt 17Chattanooga, TN 37405-4720
Phone: (828) 400-4478
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence BACB874454 |
|---|
Record details
| NPI number | 1639882103 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 29, 2022 |
| Last updated in NPPES | December 29, 2022 |
| Certification date | December 29, 2022 |
| Mailing address | 113 Goodson Ave Apt 17, Chattanooga, TN 37405-4720 |
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