Ebonye Willis

NPI #1558072702 in Tulsa, Oklahoma

Provider Information

NPI Number: 1558072702
Entity Type: Individual
Name: Ebonye Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 8, 2022
Last Updated: Dec 8, 2022

Practice Location

Address: 7306 S YALE AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74136-7027
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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