Individual
ALISA LAKENDRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12740 BANDERA RD, HELOTES, TX 78023-4327
(210) 321-9275
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(469) 694-1754
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
40601906
TX
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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