Individual
GENEVIEVE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30131 TOWN CENTER DR STE 135, LAGUNA NIGUEL, CA 92677-2010
(949) 409-5301
Mailing address
30131 TOWN CENTER DR STE 135, LAGUNA NIGUEL, CA 92677-2010
(949) 409-5301
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/26/2024
Last updated
03/27/2024
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