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Individual

MAYA MAKAYLA DAVIS I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4201 N I-10 SERVICE RD W., METAIRIE, LA 70006
(888) 880-9270
Mailing address
1240 LYNWAY LN SW, ATLANTA, GA 30311-3010
(504) 320-7177

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
01/24/2023
Last updated
01/24/2023
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