Individual
DR. BILLIE JO DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Contact information
Practice address
21 IRONWOOD DR., SUITE D PMD 106, COEUR D ALENE, ID 83815
(208) 699-2595
Mailing address
212 IRONWOOD DR. SUITE D, PMD 106, COEUR D ALENE, ID 83815
(208) 699-2595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60063071
WA
103K00000X
Behavior Analyst
1000013
FL
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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