Individual
EBONY L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 AUBURN DR, BEACHWOOD, OH 44122-4314
(216) 532-9776
Mailing address
2000 AUBURN DR, BEACHWOOD, OH 44122-4314
(216) 532-9776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
02/13/2026
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