Individual
AMY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 442-9022
Mailing address
7212 OLDHAM PL, NORTH RICHLAND HILLS, TX 76182-5025
(682) 262-6997
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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