Individual
MS. MARNESHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N. 21ST STREET, MONROE, LA 71201
(318) 450-4911
(318) 855-4396
Mailing address
500 N 21ST ST, MONROE, LA 71201-6532
(318) 450-4911
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023497062
—
LA
Enumeration date
11/19/2018
Last updated
11/19/2018
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