Individual
DEANNA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1923 S LIBERTY DR, BLOOMINGTON, IN 47403-5146
(812) 330-4460
(812) 330-4461
Mailing address
4888 S ROGERS ST, CLEAR CREEK, IN 47426-9201
(812) 330-4460
(812) 330-4461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-410495
IN
Other
Enumeration date
02/13/2025
Last updated
10/17/2025
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