Individual
LA SHANEE RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, THD
Contact information
Practice address
264 MIDLAND AVE UNIT 28, SADDLE BROOK, NJ 07663-6415
(917) 659-9244
Mailing address
264 MIDLAND AVE UNIT 28, SADDLE BROOK, NJ 07663-6415
(917) 659-9244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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