Individual
MR. NATHANIEL DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 WOODBINE ST, NORTH PROVIDENCE, RI 02911-3036
(401) 345-1999
Mailing address
5 WOODBINE ST, NORTH PROVIDENCE, RI 02911-3036
(401) 345-1999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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