Ebony Marie Bibb
Behavior Technician in Sacramento, CA. Individual provider (NPI-1).
NPI number1982249264
StatusActive
Last updated in NPPESNov 11, 2019
Details
- NPI
- 1982249264
- Entity type
- Individual (NPI-1)
- Name
- Ebony Marie Bibb
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2019
- Last updated
- Nov 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
800 Howe Ave Ste 140Sacramento, CA 95825-3965
Phone 916-350-1737
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 949-833-2237
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