Individual
ANNIE CHRISTIAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
155 BABCOCK ST, QUINCY, MA 02169-2941
(251) 689-8650
Mailing address
155 BABCOCK ST, QUINCY, MA 02169-2941
(251) 689-8650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000000742
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265
—
MA
Enumeration date
08/10/2011
Last updated
03/22/2017
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