MEDICARE: EZRA BEHAVIORAL ANALYSIS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1205615952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EZRA BEHAVIORAL ANALYSIS, PC

Provider Business Mailing Address
First Line	:	181 STATION AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-2740
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	181 STATION AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-2740
Country	:	US
Telephone Number	:	348-808-3972
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER LEVIN
Credential	:
Telephone Number	:	646-285-2558

Provider Enumeration Date	:	09/22/2023
Last Update Date	:	09/22/2023

Similar Medicare Providers

1568723559 — MRS. JENNIFER LEVIN MS.ED
Practice Location Address:

181 STATION AVE
STATEN ISLAND, NY
10309-2740

Practice Phone: 646-285-2558
Practice Fax:

1609376995 — LEARNING ADVANTAGE INC
Practice Location Address:

181 STATION AVE
STATEN ISLAND, NY
10309-2740

Practice Phone: 646-285-2558
Practice Fax:

1164016564 — JODIE MURPHY
Practice Location Address:

21 HOPKINS AVE
STATEN ISLAND, NY
10306-2740

Practice Phone: 646-468-4844
Practice Fax:

1942208566 — SAROJ ARVIND HAZARI MD
Practice Location Address:

248 ALBOURNE AVE
STATEN ISLAND, NY
10309-3033

Practice Phone: 718-967-2879
Practice Fax: 718-967-2581

1366442311 — DR. LEE W CASTELLAN D.C., CNIM
Practice Location Address:

35 HICKORY CT
STATEN ISLAND, NY
10309-1632

Practice Phone: 718-605-7896
Practice Fax:

1205829892 — DR. MICHAEL ANTHONY SAVINO M.D.
Practice Location Address:

375 SEGUINE AVE
STATEN ISLAND, NY
10309-3932

Practice Phone: 718-226-2950
Practice Fax: 718-226-2708

Directions to “EZRA BEHAVIORAL ANALYSIS, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.