Ebony Monique Mccauley

NPI #1073384285 in Kentwood, Michigan

Provider Information

NPI Number: 1073384285
Entity Type: Individual
Name: Ebony Monique Mccauley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 16, 2024
Last Updated: Jan 16, 2024

Practice Location

Address: 346 68TH ST SW
City: Kentwood
State: Michigan
ZIP Code: 49548-7179
Phone: (616) 201-5161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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