Ezra Hall, PH.D., BCBA-D
Individual provider Active NPI Behavior Analyst · Martinsburg, WV
NPI 1265848451 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1265848451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1010 Winchester Ave
Martinsburg, WV 25401-1683 - Phone
- (304) 290-4262
- Fax
- (304) 212-0627
- NPI assigned
- Jul 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain State Applied Behavior Analysis LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1010 Winchester Ave
Martinsburg, WV 25401-1683
Mailing address
PO Box 442
Shepherdstown, WV 25443-0442
Phone (304) 290-4262
Other providers in Martinsburg, WV
- Kaila Lyn Hadrick
- Rachel Hain
- Nathan Hale
- Shelley J Hale
- Connor Hall
- Jason W Hall
- Julie Corbin Hall
- Marci Ann Hall
- Marcus Hall
- Nicki Hall
All providers in Martinsburg, WV · Behavior Analyst in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.