Individual
BROOK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
280 PINEHURST AVE, SOUTHERN PINES, NC 28387-6350
(704) 440-3580
Mailing address
65 BIRD SONG LN, PARKTON, NC 28371-9477
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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