Ebony Larsen

NPI #1164222600 in Valparaiso, Indiana

Provider Information

NPI Number: 1164222600
Entity Type: Individual
Name: Ebony Larsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 14, 2025
Last Updated: Mar 14, 2025

Practice Location

Address: 1710 VALE PARK RD APT 308
City: Valparaiso
State: Indiana
ZIP Code: 46383-7304
Phone: (574) 806-2773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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