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EZRA ROBERT NORDIN DUREAULT LPT
NPI 1932730454
Licensed Psychiatric Technician in Monrovia, CA

Active since February 03, 2020
902 S MYRTLE AVE, MONROVIA, CA 91016(626) 357-3258 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ezra Robert Nordin Dureault Lpt NPPES

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

EZRA ROBERT NORDIN DUREAULT LPT (NPI 1932730454) is an individual licensed psychiatric technician in Monrovia, California, licensed in California (PT41197) and active in the NPI registry since February 2020. He maintains a secondary practice location in Monrovia.

NPPES Registry Identity

NPI1932730454
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameEZRA ROBERT NORDIN DUREAULTCredential: LPT
Location Address902 S MYRTLE AVEMonrovia, CA 91016-3427
Mailing Address160 E Pasadena StPomona, CA 91767-4604
Phone(626) 357-3258
Sole ProprietorNo
Enumeration DateFebruary 3, 2020
✔ NPI 1932730454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · PT41197
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
902 S MYRTLE AVE, Monrovia, CA 91016
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Secondary Practice Location 1

Location 1902 S Myrtle AveMonrovia, CA 91016-3427 · Phone (626) 357-3258

Other Providers at the Same Location NPPES 20

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

EMMELINE ELIZABETH HASSELER
Community Health Worker
902 S MYRTLE AVE
MONROVIA, CA 91016
Los Angeles County (626) 357-3258
LAUREN ELMSLIE
Counselor (Professional)
902 S MYRTLE AVE
MONROVIA, CA 91016
Los Angeles County (626) 357-3258
MARIA ROSA BUONTEMPO
Rehabilitation Practitioner
902 S MYRTLE AVE
MONROVIA, CA 91016
Los Angeles County (626) 303-1541
MS. CAROLINE ELISE HUNTER M.A.
Marriage & Family Therapist
902 S MYRTLE AVE
MONROVIA, CA 91016
Los Angeles County (626) 303-1541
TIFFANY SAMANTHA SAZO NERIO LMFT
Marriage & Family Therapist
902 S MYRTLE AVE
MONROVIA, CA 91016
Los Angeles County (626) 357-3258
MISS NANCY NGOC HA M.S.
Counselor (Mental Health)
902 S MYRTLE AVE
MONROVIA, CA 91016
Los Angeles County (626) 357-3258
LAUREN SEANEA AUDISS
Student in an Organized Health Care Education/Training Program
902 S MYRTLE AVE
MONROVIA, CA 91016
Los Angeles County (626) 357-3258
CLOUDIN KHANLARY
Student in an Organized Health Care Education/Training Program
902 S MYRTLE AVE
MONROVIA, CA 91016
Los Angeles County (626) 357-3258

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 Dureault's NPI number?

The NPI number for Ezra Dureault is 1932730454. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Where is Ezra Dureault located?

Ezra Dureault practices at 902 S Myrtle Ave, Monrovia, CA 91016. The listed phone number is (626) 357-3258.

What is Ezra Dureault's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Ezra Dureault was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.