Individual
MRS. KERIANN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
5719 S MADISON AVE, ANDERSON, IN 46013-1651
(765) 606-4995
Mailing address
6302 N PARK AVE, INDIANAPOLIS, IN 46220-1740
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65012
IN
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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