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Individual
MR. JEFFREY THOMAS DAVIS
Active
Individual
MR. JEFFREY THOMAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSPE, LBA, BCBA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11750
TN
103K00000X
Behavior Analyst
BA-004
WY
103TC1900X
Counseling Psychologist
11750
TN
Other
Enumeration date
03/19/2007
Last updated
06/26/2025
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