Individual
HALEY MADISON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50101 GOVERNORS DR STE 170, CHAPEL HILL, NC 27517-9257
(919) 589-4523
Mailing address
2701 HOMESTEAD RD APT 603, CHAPEL HILL, NC 27516-8755
(252) 333-0367
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BFP10474585500
BLUECROSS BLUESHIELD
NC
Enumeration date
01/26/2022
Last updated
01/26/2022
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