Individual
ALLIYAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8603 BROADWAY ST UNIT 170, PEARLAND, TX 77584-8171
(281) 540-2001
Mailing address
8603 BROADWAY ST UNIT 170, PEARLAND, TX 77584-8171
(281) 540-2001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-149077
TX
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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