Individual provider · Type 1 NPI
Ezra Sasao
Peer Specialist · Hampton, VA
NPI number
1649123563
Active
Practice location
4410 Claiborne Sq E Ste 334
Hampton, VA 23666-2074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1649123563
Ezra Sasao's National Provider Identifier is 1649123563, issued on Feb 19, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Hampton, VA. The record was last updated on Feb 19, 2026.