Wynn, Ebony Lamyiah

Wynn, Ebony Lamyiah is an sole proprietor health care provider with primary practice located at 2000 Stambuk Ln Apt 1015 , Statesboro GA 30458-0219. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wynn, Ebony Lamyiah can be contacted via phone (706) 831-2501.

Contact Information

Primary practice address
2000 Stambuk Ln Apt 1015 Statesboro GA 30458-0219
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1417520792
LBN Legal business name Wynn, Ebony Lamyiah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2021
Last updated Jul 23rd, 2021 - about 5 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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