Cannon, Ebony

Cannon, Ebony is an individual health care provider with primary practice located at 7700 Minosotta Ave , St.Louis MO 63111. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cannon, Ebony can be contacted via phone (314) 449-1497.

Contact Information

Primary practice address
7700 Minosotta Ave St.Louis MO 63111
Phone: (314) 449-1497
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1992291660
LBN Legal business name Cannon, Ebony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2018
Last updated Jul 6th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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