Most Relevant Information
Provider Data
| NPI Number: | 1003652041 |
| Provider Name: | EBONY J ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2024 |
| Last Updated: | 07/10/2024 |
Provider Practice Location
260 PEACHTREE ST NW STE 2200
ATLANTA
GA
303031292
Practice Location Phone/Fax
| Phone: | 8558326727 |
| Fax: |
Provider Mailing Location
7108 S KANNER HWY
STUART
FL
349977462
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |