EZRA MAL FRY
NPI 1639882103
Behavior Technician in Chattanooga, TN

Active since December 29, 2022
113 GOODSON AVE APT 17, CHATTANOOGA, TN 37405(828) 400-4478 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ezra Mal Fry NPPES

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

EZRA MAL FRY (NPI 1639882103) is an individual behavior technician in Chattanooga, Tennessee, licensed in (BACB874454) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1639882103
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameEZRA MAL FRY
Location Address113 GOODSON AVE APT 17Chattanooga, TN 37405-4720
Mailing Address113 Goodson Ave Apt 17Chattanooga, TN 37405-4720
Sole ProprietorNo
Enumeration DateDecember 29, 2022
NPPES CertifiedDecember 29, 2022
NPI 1639882103 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 · BACB874454
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.

113 GOODSON AVE APT 17, Chattanooga, TN 37405

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 Ezra Fry's NPI number?

The NPI number for Ezra Fry is 1639882103. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Ezra Fry located?

Ezra Fry practices at 113 Goodson Ave Apt 17, Chattanooga, TN 37405. The listed phone number is (828) 400-4478.

What is Ezra Fry'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 Ezra Fry was last updated on December 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.