Individual
MS. EBONY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 JONESBORO RD, MCDONOUGH, GA 30253-6250
(770) 589-4761
Mailing address
1310 JONESBORO RD, MCDONOUGH, GA 30253-6250
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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