Individual
SHAUNESSA DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 N WOODS LN, 3400 N WOODS LN, ROGERS, AR 72756-7275
(479) 251-0028
(224) 386-4455
Mailing address
3400 N WOODS LN, ROGERS, AR 72756
(479) 639-3190
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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