Individual
DENZEL DE'CRAIG DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
172A00000X
Driver
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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