Individual
DEMETRIA JACQUES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 OWEN DR STE A, FAYETTEVILLE, NC 28304-3419
(910) 425-6282
Mailing address
105 WASHINGTON CT, RAEFORD, NC 28376-8514
(910) 919-0097
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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