Most Relevant Information
Provider Data
| NPI Number: | 1003576356 |
| Provider Name: | JORDAN EZBAI NARANJO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2021 |
| Last Updated: | 12/28/2021 |
Provider Practice Location
50 N HILL AVE STE 100
PASADENA
CA
911061949
Practice Location Phone/Fax
| Phone: | 7146720866 |
| Fax: |
Provider Mailing Location
4780 HAMMEL ST
LOS ANGELES
CA
900221304
Provider Mailing Phone/Fax
| Phone: | 3233922737 |
| Fax: |