Individual
EBONEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3066 ANTRIM CIR, DUMFRIES, VA 22026-3318
(703) 470-7149
Mailing address
3066 ANTRIM CIR, DUMFRIES, VA 22026-3318
(703) 470-7149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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