Ebony Cannon

NPI #1992291660 in St.louis, Missouri

Provider Information

NPI Number: 1992291660
Entity Type: Individual
Name: Ebony Cannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 6, 2018
Last Updated: Jul 6, 2018

Practice Location

Address: 7700 MINOSOTTA AVE
City: St.louis
State: Missouri
ZIP Code: 63111
Phone: (314) 449-1497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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