Individual
ALISHA EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 S DIXON ST, KOKOMO, IN 46901-3268
(765) 437-7788
Mailing address
2900 S DIXON ST, KOKOMO, IN 46901-3268
(765) 437-7788
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-80420
BEHAVIOR ANALYST CERTIFICATION BROAD
IN
Enumeration date
02/15/2023
Last updated
02/15/2023
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