Individual provider · Type 1 NPI

Ebony Deravariere

Peer Specialist · Schenectady, NY

NPI number 1669271029 Active

Practice location

600 Franklin St Ste 204
Schenectady, NY 12305-2107

Call (518) 372-7031 Map

Fax (518) 372-7064

Mailing address

1116 Pleasant St
Schenectady, NY 12303-1714

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X8552-P (NY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1669271029

Ebony Deravariere's National Provider Identifier is 1669271029, issued on Mar 10, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Schenectady, NY. The record was last updated on Mar 3, 2026.