Individual
LAKISHA REGINA DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CONSTITUTION DR FL 1, BEDFORD, NH 03110-6042
(818) 345-2345
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S55998753
MA
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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