Individual
ANTONIO DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7162 READING RD, CINCINNATI, OH 45237-3838
(513) 961-5100
Mailing address
125 LOUIS AVE, CINCINNATI, OH 45220-2209
(513) 266-0182
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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