Individual
BREONNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 KING ARTHUR CT NW, CLEVELAND, TN 37312-7106
(423) 919-8222
Mailing address
265 BROWDER LN, OLD FORT, TN 37362-7065
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-439178
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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