Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY CANNON
ActiveEBONY CANNON is a Behavior Technician healthcare provider located in ST.LOUIS, Missouri. NPI 1992291660 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · ST.LOUIS, MO
Registration Details
- NPI Number
- 1992291660
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2018 (8.1025973906227 yrs)
- Last Updated
- Jul 6, 2018
Practice Information
- Address
-
7700 MINOSOTTA AVEST.LOUIS, MO, 63111Browse MO providers · Browse ZIP 63111
- Phone
- 3144491497
- Primary Specialty
-
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.