Individual
BROOKLYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7220 W JEFFERSON AVE, LAKEWOOD, CO 80235-2031
(303) 225-7673
Mailing address
6536 S KINGSTON DR, SOUTH WEBER, UT 84405-7246
(801) 814-8593
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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