Ezra Lee Dalton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-380196 Issued in IN

Practice address

12760 W 87TH Street Pkwy Ste 100
Lenexa, KS 66215-2878

Phone

(057) 438-7431

NPI assigned

Feb 19, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patterns Behavioral Services Kansas

  • Speech-Language Pathologist
  • Lenexa, KS
  • NPI 1649748401
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1013713247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 W 87TH STREET PKWY STE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 W 87TH STREET PKWY STE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152878",
            "telephone_number": "057-438-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "EZRA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-24-380196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Custer, LMLP
• Emily Cymanski
• Danna Marie Dahl, MA, LCMFT, LCPC
• Mackenzie P Dahl, DPT
• Stacy Murchison Dailey
• Monisha Dandekar
• Andrew Dang, DO
• Daniel J Margolin
• Sarah Marquis Daniels, NP
• Donna Jane Dassel-Stuke

• Behavior Technician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Behavior Technician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.