Individual
BRYAN JAMES DAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, BCBA
Contact information
Practice address
3740 E PALO VERDE ST, GILBERT, AZ 85296-1857
(480) 455-0987
(480) 898-7419
Mailing address
3740 E PALO VERDE ST, GILBERT, AZ 85296-1857
(480) 455-0987
(480) 898-7419
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-23
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260323643-85233-A001
TRICARE
AZ
Enumeration date
09/20/2007
Last updated
05/05/2014
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