Ebony Penn

Behavior Technician · Lithia, FL

Individual Active NPI

NPI number 1962294868

Practice location

5454 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Phone
(813) 467-9280

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NPI record

NPI
1962294868
Entity type
Individual (Type 1)
Enumeration date
May 19, 2025
Last updated
May 19, 2025
Certified
May 19, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone
(866) 610-0580

About Ebony Penn

Ebony Penn is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 5454 Lithia Pinecrest Rd, Lithia, FL 33547-2853. The NPI number 1962294868 was assigned on May 19, 2025 and the record was last updated on May 19, 2025.

Frequently asked questions

What is the NPI number of Ebony Penn?

The NPI number is 1962294868.

What is the phone number of Ebony Penn?

The phone number listed for the practice location is (813) 467-9280.

Where is Ebony Penn located?

5454 Lithia Pinecrest Rd, Lithia, FL 33547-2853.

What is the taxonomy code for Ebony Penn?

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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