Ebonie Daugherty
Ebonie Daugherty is a Behavior Technician in Champaign, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
517 W Town Center BlvdChampaign, IL 61822-1248
Phone: (630) 359-3629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1336853530 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 11, 2023 |
| Last updated in NPPES | January 11, 2023 |
| Certification date | January 11, 2023 |
| Mailing address | 517 W Town Center Blvd, Champaign, IL 61822-1248 |
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