| NPI | 1336749597 |
|---|---|
| Other Name | EBONY CHANTRICE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 794) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator (Licence: TX 794) | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2025-04-09 |