Individual
ALEC DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2100 KRAMER LN STE 300, AUSTIN, TX 78758-4094
(512) 920-1057
Mailing address
1601 S MOPAC EXPY, STE C-300, AUSTIN, TX 78746-7009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35424
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
09/12/2016
Last updated
06/15/2021
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