EBONY RENE VENABLE LPT
NPI 1508493495
Licensed Psychiatric Technician in San Bernardino, CA

Q: What is Ebony Venable's NPI number?

The NPI number for Ebony Venable is 1508493495. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Ebony Venable's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Ebony Venable was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2020

1481 WINDSOR DR, SAN BERNARDINO, CA 92404(909) 361-6472(909) 203-7403 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ebony Rene Venable Lpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY RENE VENABLE LPT (NPI 1508493495) is an individual licensed psychiatric technician in San Bernardino, California, licensed in California (34496) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1508493495

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameEBONY RENE VENABLECredential: LPT

Location Address1481 WINDSOR DRSan Bernardino, CA 92404-5416

Mailing Address3572 Banbury Dr Apt 31Riverside, CA 92505-1928 · (909) 361-6472 · Fax (909) 203-7403

Phone(909) 361-6472

Fax(909) 203-7403

Sole ProprietorYes

Enumeration DateMarch 23, 2020

NPPES CertifiedMarch 23, 2020

✔ NPI 1508493495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 34496

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

1481 WINDSOR DR, San Bernardino, CA 92404

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANNY BRICE KELLY LPT

Licensed Psychiatric Technician