Individual
EBONY TONYCE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 JOHN GODLEY LN, ELLABELL, GA 31308-8076
(191) 282-0183
Mailing address
191 JOHN GODLEY LN, ELLABELL, GA 31308-8076
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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