Individual
GAVIN JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 336-1787
Mailing address
283 E 300 S, CENTERVILLE, UT 84014-2258
(801) 897-5604
(801) 992-8508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/17/2023
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