Individual
CHANCI KAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1153 E 72ND AVE, ANCHORAGE, AK 99518-2369
(907) 406-8939
Mailing address
PO BOX 60735, FAIRBANKS, AK 99706-0735
(907) 687-7596
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-114055
AK
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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