Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eboni Thedford

Individual provider Behavior Technician · NPI 1417785114

Eboni Thedford is a Behavior Technician in Warren, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3601 E 11 Mile Rd Ste C
Warren, MI 48092-2878
Phone: (586) 250-2271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1417785114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2024
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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