Individual
KIMYATTA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1797 PITKIN AVE, BROOKLYN, NY 11212-7839
(718) 971-1944
Mailing address
1797 PITKIN AVE, BROOKLYN, NY 11212-7839
(718) 971-1944
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QM1300X
—
NY
Enumeration date
03/08/2021
Last updated
03/08/2021
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