Individual
JACINTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 623-1512
(708) 614-7831
Mailing address
136 142 1/2 SOUTH CLINTON, BRADLEY, IL 60915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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