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NPI Code Detail

MEDICARE: JANE EZE

MEDICARE: JANE EZE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1780521716
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE EZE
Provider Business Mailing Address
First Line : 20400 OBSERVATION DR STE 104
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-4086
Country : US
Telephone Number : 301-540-0445
Fax Number : 833-803-2521
Provider Business Practice Location Address
First Line : 20400 OBSERVATION DR STE 104
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-4086
Country : US
Telephone Number : 301-540-0445
Fax Number : 833-803-2521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “ JANE EZE ” Practice Location

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