Individual
EBONY PATTERSON-HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5060 N 19TH AVE # 317-8, PHOENIX, AZ 85015-3210
(706) 825-6089
Mailing address
5060 N 19TH AVE STE 421, PHOENIX, AZ 85015-3214
(706) 825-6089
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/28/2022
Last updated
09/05/2023
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