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

Sandra Ezra

Individual provider Behavior Technician · NPI 1366908071

Sandra Ezra is a Behavior Technician in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2019

Practice location Address checks out

2314 Miami St
South Bend, IN 46614-1336
Phone: (574) 204-2475
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-18-55991 (IN)

Record details

NPI number1366908071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 18, 2019
Last updated in NPPESFebruary 18, 2019
Mailing address2314 Miami St, South Bend, IN 46614-1336

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