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Ebony Wynn
NPI 1417520792 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2000 Stambuk Ln Apt 1015
Statesboro, GA 30458 - Phone
- (706) 831-2501
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia