Individual
BROOKLIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 YORKSHIRE ST, SALEM, VA 24153-7016
(540) 285-0523
Mailing address
405 YORKSHIRE ST, SALEM, VA 24153-7016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003165
VA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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