Willis, Ebony Rene
Willis, Ebony Rene is an sole proprietor health care provider with primary practice located at 2609 Flamingo Dr , Columbia SC 29209-4513. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Willis, Ebony Rene can be contacted via phone (803) 497-4303.Contact Information
Primary practice address
2609 Flamingo Dr
Columbia SC 29209-4513
Phone: (803) 497-4303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1720598311 |
|---|---|
| LBN Legal business name | Willis, Ebony Rene |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2017 |
| Last updated | Oct 9th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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