Individual
LISA SHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
285 FORT WASHINGTON AVE, #52, NEW YORK, NY 10032-1206
(646) 915-4368
(212) 534-7551
Mailing address
285 FORT WASHINGTON AVE, #52, NEW YORK, NY 10032-1206
(646) 915-4368
(212) 534-7551
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
090183
NY
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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