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Individual
MR. PAUL A. DAVIS
Active
Individual
MR. PAUL A. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-09-5601
AZ
103K00000X
Behavior Analyst
Primary
BA-50
AZ
1041C0700X
Clinical Social Worker
LCSW-2701
AZ
Other
Enumeration date
02/26/2010
Last updated
02/23/2012
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