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

Ebony Lamyiah Wynn

Individual provider Behavior Technician · NPI 1417520792

Ebony Lamyiah Wynn is a Behavior Technician in Statesboro, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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Practice location Address checks out

2000 Stambuk Ln Apt 1015
Statesboro, GA 30458-0219
Phone: (706) 831-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (GA)

Record details

NPI number1417520792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2021
Last updated in NPPESJuly 23, 2021
Certification dateJuly 11, 2021
Mailing address2000 Stambuk Ln Apt 1015, Statesboro, GA 30458-0219

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