SANDRA EZRA
NPI 1366908071
Behavior Technician in South Bend, IN

Active since February 18, 2019
2314 MIAMI ST, SOUTH BEND, IN 46614(574) 204-2475 Get Directions Write a Review

NPPES record last updated: February 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandra Ezra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA EZRA (NPI 1366908071) is an individual behavior technician in South Bend, Indiana, licensed in Indiana (RBT-18-55991) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1366908071
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSANDRA EZRA
Location Address2314 MIAMI STSouth Bend, IN 46614-1336
Mailing Address2314 Miami StSouth Bend, IN 46614-1336 · (574) 204-2475
Sole ProprietorYes
Enumeration DateFebruary 18, 2019
NPI 1366908071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in IN · RBT-18-55991
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
2314 MIAMI ST, South Bend, IN 46614

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
2314 MIAMI ST
SOUTH BEND, IN 46614
Behavior Technician
2314 MIAMI ST
SOUTH BEND, IN 46614
Behavior Technician
2314 MIAMI ST
SOUTH BEND, IN 46614
Behavior Technician
2314 MIAMI ST
SOUTH BEND, IN 46614
Behavior Analyst
2314 MIAMI ST
SOUTH BEND, IN 46614
Social Worker (Clinical)
2314 MIAMI ST
SOUTH BEND, IN 46614
Behavior Technician
2314 MIAMI ST
SOUTH BEND, IN 46614
Behavior Technician
2314 MIAMI ST
SOUTH BEND, IN 46614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Ezra's NPI number?

The NPI number for Sandra Ezra is 1366908071. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Where is Sandra Ezra located?

Sandra Ezra practices at 2314 Miami St, South Bend, IN 46614. The listed phone number is (574) 204-2475.

What is Sandra Ezra's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Sandra Ezra was last updated on February 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.