Individual
KYLIE A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
740 CEDAR LAWN AVE, FAR ROCKAWAY, NY 11691-5304
(505) 295-6685
Mailing address
4389 DEPOT DRVE, SWARTZ CREEK, MI 48473
(480) 482-0859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001958
AZ
Other
Enumeration date
08/19/2020
Last updated
08/25/2025
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