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Ebony Monique Lynch

Behavior Technician in Virginia Beach, VA. Individual provider (NPI-1).

NPI number1013593136
StatusActive
Last updated in NPPESMar 19, 2021

Details

NPI
1013593136
Entity type
Individual (NPI-1)
Name
Ebony Monique Lynch
Sex
Female
Sole proprietor
No
Enumeration date
Mar 19, 2021
Certification date
Mar 19, 2021
Last updated
Mar 19, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–VAYes

Practice location

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332

Phone 877-418-2978 · Fax 866-500-2186

Mailing address

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332

Phone 877-418-2978 · Fax 866-500-2186

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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