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Individual

BRANDI LEE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
807 DONNELL BLVD STE Q, DALEVILLE, AL 36322-2111
(334) 709-4024
Mailing address
1320 RUCKER BLVD APT G8, ENTERPRISE, AL 36330-3698

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
8844910
AL

Other

Enumeration date
07/30/2024
Last updated
07/30/2024
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