Most Relevant Information
Provider Data
| NPI Number: | 1003650136 |
| Provider Name: | EBONI HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2024 |
| Last Updated: | 06/24/2024 |
Provider Practice Location
7288 HANOVER GREEN DR
MECHANICSVILLE
VA
231111709
Practice Location Phone/Fax
| Phone: | 8557728847 |
| Fax: |
Provider Mailing Location
27777 INKSTER RD STE 100
FARMINGTON HILLS
MI
483345312
Provider Mailing Phone/Fax
| Phone: | 8557728847 |
| Fax: |