Ebony Lamyiah Wynn

Behavior Technician · Statesboro, GA

Individual Active NPI

NPI number 1417520792

Practice location

2000 Stambuk Ln Apt 1015
Statesboro, GA 30458-0219
Phone
(706) 831-2501

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NPI record

NPI
1417520792
Entity type
Individual (Type 1)
Enumeration date
July 23, 2021
Last updated
July 23, 2021
Certified
July 11, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — GA

About Ebony Wynn

Ebony Lamyiah Wynn is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 2000 Stambuk Ln Apt 1015, Statesboro, GA 30458-0219. The NPI number 1417520792 was assigned on July 23, 2021 and the record was last updated on July 23, 2021.

Frequently asked questions

What is the NPI number of Ebony Lamyiah Wynn?

The NPI number is 1417520792.

What is the phone number of Ebony Wynn?

The phone number listed for the practice location is (706) 831-2501.

Where is Ebony Wynn located?

2000 Stambuk Ln Apt 1015, Statesboro, GA 30458-0219.

What is the taxonomy code for Ebony Wynn?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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