Individual
AVERY MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 PARK AVE, FORT LUPTON, CO 80621-1928
(303) 501-4875
Mailing address
236 PARK AVE, FORT LUPTON, CO 80621-1928
(303) 501-4875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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