Individual
EBONY CHANTE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 CREPE MYRTLE CT, ATP K, ALBANY, GA 31721
(229) 449-3706
Mailing address
3101 CREPE MYRTLE CT, ATP K, ALBANY, GA 31721
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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