Individual
CHRISTINA ANITA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3235 VOLLMER RD STE 125, FLOSSMOOR, IL 60422-2040
(708) 914-4274
Mailing address
14415 WOODLAWN AVE, DOLTON, IL 60419-1907
(708) 288-4487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/22/2023
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