Individual
AREA JOH'NESE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 252-8181
Mailing address
8405 KENDRICK RD, JONESBORO, GA 30238-2955
(678) 834-6810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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