Individual
EBONY HOUZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2236 FORT PICKENS CT, DUMFRIES, VA 22026-2508
(301) 756-6736
Mailing address
1602 BELLE VIEW BLVD # 3015, ALEXANDRIA, VA 22307-6531
(301) 756-6736
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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