IndividualActive
Mythsouca Ebanks
NPI 1104329648 · Behavior Technician · Lake Worth, FL
Provider details
- NPI number
- 1104329648
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7124 Colony Club Dr Apt 303
Lake Worth, FL 33463-7824
Phone: (561) 757-9699
Approximate (ZIP-level) locationGet directions
Mailing address
7124 Colony Club Dr Apt 303
Lake Worth, FL 33463-7824
Registry dates
- Enumerated
- 2018-03-12
- Last updated
- 2018-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.