Individual
EBONY SHAWNTIL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7920 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(612) 250-9086
Mailing address
7920 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(612) 250-9086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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