Ebonie Daugherty

NPI #1336853530 in Champaign, Illinois

Provider Information

NPI Number
1336853530
Entity Type
Individual
Name
Ebonie Daugherty
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jan 11, 2023
Last Updated
Jan 11, 2023

Practice Location

Address
517 W TOWN CENTER BLVD
ZIP Code
61822-1248
Phone
(630) 359-3629

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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