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Individual

MS. QUENESINA YIOMA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA

Contact information

Practice address
200 ELFORD CT, SPARTANBURG, SC 29306-3250
(864) 476-7400
Mailing address
751 E GEORGIA RD, WOODRUFF, SC 29388-8787
(864) 476-7400
(864) 476-0033

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720341084
SC
Enumeration date
10/09/2019
Last updated
10/09/2019
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