Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jay Takara Ebata

Individual provider Behavior Technician · NPI 1861112682

Jay Takara Ebata is a Behavior Technician in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200
Phone: (323) 291-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1861112682
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

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