Individual
DARIELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E PRATT ST FL 8, BALTIMORE, MD 21202-3180
(410) 454-0467
Mailing address
6107 MARQUETTE RD, BALTIMORE, MD 21206-3117
(443) 707-9350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1765
MD
Other
Enumeration date
03/24/2017
Last updated
05/16/2024
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